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Application is made to Construct a new drivewayAlter an existing driveway
Is any portion of the property reserved for a person with a disability or a severely disabled veteran? YesNo
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1 - Posted Speed Lmit (mph)
2 - Roadway Sight Distance (ft)
3 - Roadway Sight Distance (ft)
4 - Driveway Radius (ft)
5 - Driveway Radius (ft)
6 - Driveway Width (ft)
Under the subject to all the conditions, restrictions, and regulations prescribed by the Pennsylvania Department of Transportation on the issued Permit, Form M-945P. The applicant certifies that all statements contained herein are true and correct. Applicant Signature: