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Control Number: FORMTEXT      Designer: FORMTEXT      DR Form 219, Mar 08 (Continued) Permit Instructions  FORMCHECKBOX  Term is 12 months or FORMTEXT       FORMCHECKBOX  Type of Specific Instructions to be attached with this permit: FORMCHECKBOX A - General FORMCHECKBOX D - Pit or Trench FORMCHECKBOX  H - Approach Road FORMCHECKBOX  A-1 - Worker Visibility FORMCHECKBOX  E - Occupy Underground FORMCHECKBOX  I - Temporary Irrigation FORMCHECKBOX B - Undercrossing FORMCHECKBOX  F - Occupy Aerial FORMCHECKBOX  J - Encroachment FORMCHECKBOX C - Open Trench FORMCHECKBOX  G - Grading FORMCHECKBOX  K - Drainage FORMCHECKBOX  Restrictions or other specific instructions to be noted or attached to this permit: FORMCHECKBOX District Recommendations are noted on the application FORMCHECKBOX Applic:x~  . 0 < > R T V ` b p r 睓t`O`!j\hJrCJOJQJU&jhJrCJOJQJUmHnHu!jhJrCJOJQJUjhJrCJOJQJUhJrCJOJQJh3h35OJQJ^J*jthGKhP5OJQJU^J*jhGKhP5OJQJU^JjhGK5OJQJU^JhGK5OJQJ^JhJrhJrCJOJQJ:x0 < d p $ ($Ifa$gdY $If] ($IfgdY 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FORMCHECKBOX 467 Cased FORMCHECKBOX 469 Cased cable FORMCHECKBOX 471a Fully cased for 4-lane FORMCHECKBOX 472a Cased for 4-lane FORMCHECKBOX Undercrossing plan with depth of bury at 60 for liquids FORMCHECKBOX 467-A Cased FORMCHECKBOX 465c Casing for attachment to existing pipe FORMCHECKBOX 471b Fully cased for 4-lane FORMCHECKBOX 472b Cased for 4-lane FORMCHECKBOX Access Plan FORMCHECKBOX Rural access plan, DR Form 414 FORMCHECKBOX Urban access without sidewalk, DR Form 412 FORMCHECKBOX Urban access with sidewalk, DR Form 413 FORMCHECKBOX Traffic Control  FORMCHECKBOX  Other FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT           vv>vvvxvvvHOkdc9$$Ifl408*d&4 laf4$If$ $If]a$Okd8$$Ifl408*d&4 laf4vvvvvvvvvww>w@wBw^w`wbwdwwwwwwww$x&x(xDxFxHxJxjxlxnxxxxxxxxxְ֟֎}l!jA>h `CJOJQJU!j^=h `CJOJQJU!j{<h `CJOJQJU!j;h `CJOJQJU!j:h `CJOJQJUh `5CJOJQJh `CJOJQJh `CJOJQJjh `CJOJQJU!j9h 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