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<br />e <br /> <br />e <br /> <br />REOUEST FOR PERMISSION FOR CONSTRUCTION ACTIVITY <br /> <br />Notification # } ~ y -5 '1 <br />Precinct # <br />Key Map Page # <br /> <br />TO: COMMISSIONERS' COURT <br />HARRIS COUNTY, TEXAS <br /> <br />(name of person or entity <br />desiring to initiate construction activity). requests permission to <br />lay, construct, maintain and/or repair a facility in', under,_across or <br />along a County road, street and/or highway within Harris County, <br />Texas, described below: ' <br />..- . <br /> <br />Facility to Cross Road <br /> <br />Road Name & <br />Block Number <br /> <br />Distance & <br />Direction from <br />Nearest Road <br />Intersection <br /> <br />Length of <br />crossing <br /> <br />TYPE OF CONSTRUCTION: <br />(CHECK ONE) <br />Bored Jacked Driven Cased <br /> <br />Fairmont Parkway <br />City of LaPorte. <br /> <br />1.6 miles west <br />of Hwy 146, _.____: <br />LaPorte. Texas <br /> <br />250' <br /> <br />x <br /> <br />Facility to Parallel County Road Within Right-of-Way <br /> <br />Road Name & Description of the Description of Point Distance <br />Block Number, Point at which' at which Facility <br /> Facility Begins Ceases to be Within <br /> Right-of-Way <br /> Give Distance & Give Distance & <br /> Direction from Direction from , <br /> Nearest Road Nearest Road <br /> Intersection Intersection <br />, <br /> <br />Type of FacJlity 8" Pipplinp <br />Pipe Size & Grade (if applicable) A" APT "1 X-b.? <br /> <br />. <br /> <br />I <br />I <br />I <br /> <br />Recelveo <br />HARRIS COUNTY <br /> <br />APR 12 1994 <br />ENGI/'fcc" <br />PE IIVI;; I.ICr'lirtl MfNT <br />: RM/r DIVISION <br /> <br />EXHIBIT "A" <br /> <br />""! :;:.7! 0; iih;~ <br />~:. ~a.~' ~~..:.n <br />