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TOWN OF COTTAGE GROVE <br /> DRIVEWAY PERMIT <br /> (For access from private property to a town road) <br /> Name and address <br /> of applicant <br /> C <' ` <br /> Phone <br /> Location: c' aide of i ) # 1'�L'') pi A <br /> i <br /> 1 <br /> located miles/feet from C� <br /> in Section (7-4 °?, Town of t ,, A,. <br /> 1 <br /> CONDITIONS <br /> Width of driveway: feet. <br /> Center of driveway from property line: feet. <br /> [ ] No drainage culvert needed. <br /> [ ] Drainage culvert needed Size: Length feet <br /> Diameter inches. <br /> Other requirements: <br /> . .� � <br /> Permit granted: <br /> Date <br /> 'ti'U -.� if <br /> I Town of: C e <br /> i ,.. .r^ ! <br /> [White copy-Town; Yellow copy-applicant;licant; Pink copy-Dane County Zoning] <br />