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FROM : PHONE NO. <br /> Nov. 20 2014 08:01AM P1 <br /> • <br /> ',M. • bier ��.J.ft <br /> Y ,d�7Z�zrr /°/tea z• <br /> • <br /> TOWN OF SPRINGDALE DRIVEWAY PERMIT APPLICATION llATE: /I LO/V <br /> I. CONTACT INFORMATION - To be Completed by Applicant' <br /> Name and current address di/ee 0%104 f <br /> of applicant ----�— <br /> . 9 7:0/ SYWier' t/Onl. /24defit h/L--. <br /> / 53S(c dY <br /> Current telephone number! work_ �Y-- 3 home k• (/1 a..0 /, <br /> c1/17----/K <br /> Driveway location in Springdale: <br /> Locat.ion: wast east south north side of Sec. <br /> Parcel number: G(j f o/... �C��f'l9 / S v)_ 6 -. 0//- 9/50 "Q' <br /> 1. Contact Ed Eloranta, Town Chairman, #437-4692, to arrange a site visit. <br /> 2. Please bring to the site visit copies of any and all deed restrictions, <br /> sketch of Town-approved building envelopes, property agreement,, etc. which <br /> could impact the location of the driveway and buildings. <br /> 3. Please attach :a drawing of the driveway location discussed at the site <br /> visit and return to the Town of Springdale, 2379 Town Hall Rd. , Mt. Horeb, WI <br /> 53572 as soon as possible after the site visit. <br /> fr*******h t 1**1t*******,*******************************'*R*X************t** <br /> II. CONDITIONS - To be completed by Town Board member or its agent: <br /> idth of single-use driveway; 12' driving surface, 14' road bed. <br /> Width of shared driveway: 16' driving surface, 18' road bed. <br /> Maximum grade. of 10%. Shared driveway agreement required: no X yes i'le G .(-1--. <br /> Drainage culvert needed: no yes Agricultural use only; )(no yes <br /> If culvert required, must meet Driveway Construction Guide standards. <br /> Other requirements; <br /> () Shall comply with town private road ordinance and driveway construction <br /> guide for new driveways. <br /> 0 Shall contact Town Patrolman Devin Dahlk, at 437-3648, before starting <br /> `construction of the driveway. <br /> 3. No Town Building Permit or Dane County Zoning Permit shall be issued until <br /> Driveway Permit Part 1 AND Part 2 have been issued. /.5 /452.A.7 <br /> 4. This approval is subject to conformance with the Town-approved building <br /> envelopes) on file in the Town of Springdale Town Hall. 7 V/ <br /> ***x**************v***************!*!********* ******************3'***** <br /> III. APPROVAL - Date Approved By Town Board: %?0q Date Issued; /7 y <br /> The Driveway Permit is valid for one year from date of approval. <br /> The Driveway Permit is pending recordation of the Certified Survey Map at <br /> Dane County Register of Deeds <br /> Permit Part 1, Driveway Permit Part 2, Single Rosidence, Duplex, Agricultural <br /> $10.0.00 Fee x Reminder: Dane County Erosion Control Standards may apply. — <br /> -----FaC / <br />