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r <br /> Town of Oregon <br /> Driveway Permit <br /> Name and Address of Property "Owner" I I e L) 5( c 11m- <br /> -56.03 L A jic 4t? )?11) ()legal "12...E___53-57.5 <br /> Or Agent for property owner: (if applicable) <br /> CEN <br /> Phone Number of Owner /5-_537/ (23s°163.)4gPnt <br /> Location: jil/d.rf- side of Town Road_` 7pp _located <br /> 1¢ miles from L;12c'/rgoad _-, in Section Town of <br /> Oregon. <br /> Conditions <br /> Width of driveway !'.1. feet. Center of driveway from property <br /> line: 26 feet. <br /> C_N_Q rainage culvert needed` <br /> Drainage culvert needed. Size: Length _feet. <br /> Diameter inches. <br /> Permit Fee:$100.00 /Field Drive Fee:$50.00 / Re-inspection Fee $50.00 <br /> Other requirements: Inspection of proposed drive must be done 48 hrs. prior <br /> to beginning the excavation work. <br /> ex".-N, .•✓t' 0 1 1-t s" c' \uS—Q%' "--- (\; <br /> C.:lu us t' bc.T. ly.:. - W y — —_ — — — <br /> Permit granted: i <br /> (Tow of Or on resentative) is - 4751..; - 2.34•7 <br /> telenhone number <br /> ' DALE D.SECHER 2-2566/7t0 6171 <br /> CYNTHIA A.SECHER ice #50— <br /> 5683 LINCOLN RD. 608-835-5871 <br /> OREGON,WI 53575-2620 i,\I,,/(i V 414_ i <br /> E <br /> PAY TO'ME ,vt- <br /> s ORDER i N Na (�k i <br /> D Z — ' *:IL GiL —(el./ G LQ— <br /> 1 BMO Q'Harris Bank <br /> IMO Mirth�al M.A. <br /> Chicago,hl $ NC.6 <br /> 0 ,� <br /> DOLLARS U ..--....-2::::- t <br /> . 1 v e c L y [., (w` 1 <br /> ! "L <br /> && Z.1,, ._,t-l -c-ler_ . : \'' 01 , itA <br /> MEMO ait/c4i,_ _Arki-i-_1:0? 102566 &I: 56686411' 06 1 ? 3, t ``.CJ <br /> . _� _ <br />