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� � t WAY" �,�� y� jr <br /> s L <br /> FROM PRIVATE PROPERTY TOGA TOWN ROAD <br /> Cost of Access Permit is $25.00 Deposit: $1000.00 <br /> o c U-c.,c,w4.c� ( <br /> r <br /> Name of Applicant A- r ��"P-h,r� p v <br /> Street Address: 13(c7j u)i U_o w <br /> City, State, Zip: &A T-n-0r. L 1 5353 -� Phone: bO g" ZG S l 9 3(42 <br /> Property Owner Name (if different from Applicant): <br /> Street Address: _ <br /> City, State,Zip: <br /> This roe Is: residential commercial agricultural manufacturing(circle one) <br /> property rty � g <br /> Parcel # O'er■Z — o�_ — � <br /> Construction location / South/East/West Side of W uo <br /> 4g <br /> (Road on which access is located) <br /> located 1 rn;lk$from 2- _ A <br /> (Inter ion of town/town or town/county rd) <br /> in Section 25, Town of Albion. <br /> ATTACH A DRAWING OR MAP SHOWING ACCESS LOCATION ON ABOVE <br /> PROPERTY. Specify footage from lot lines and show all existing accesses. <br /> Stopping Site Distance Available: <br /> Posted Speed Limit: SS <br /> Stopping Site Distance Required at Posted Speed Limit: <br /> Remarks: <br /> NOTE: Stopping sight distance for driveways is measured with an eye height of 3.5 feet above <br /> the pavement and an object height of 0.5 feet above shoulder elevation. To Determine "Stopping <br /> Sight Distance",please refer to the DOT Values Table. <br /> C:\Users\AMY004\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\J VDQ21 M2\DRIVEWAY.APPLICATION <br /> PERMIT.docx <br /> 1 � <br /> 4/24/06 <br />