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Aug'06 09 11:522 Facility Gateway 675-3.35-6060 p2 <br /> TOWN OF SPRINGDALE DRIVEWAI PERMIT APPLICATION DATE; 08-05-C9 <br /> I. CONTACT INFORMATION - To be Completed by Applicant: <br /> Name and current address_Tyler and Linda Mark* <br /> 845 Kimbell Lane 1119 <br /> Verona, WI 53593 <br /> Current telephone number: Work 608-835-6060 ext 104 <br /> Tyler Cell 608-512-5906 <br /> Linda Cell 608-444-5431 <br /> Driveway location in Spri.ngdal- : VV'',,__ .. J <br /> Location: west. east A north side of & /� a. / 0 <br /> Parcel number: fin%)7 - Au --_eo 3 0- /2 <br /> Contact Ed Eloranta, Town Chairman, 4437-4692, to arrange a site visit. <br /> Please attach a drawing of the driveway location discussed at the site <br /> visit and xetu. t tO the Town of Springdale, 2379 Town Ha11. Rd. , Mt. <br /> Horeb, WI 53572 as soon as possible after the site visit. <br /> II. CONDITIONS - To be completed by Town Board member or its agent: <br /> idWilvi'i - - - <br /> ;didth of driveway://f f Maximum grade of 10�s. <br /> Drainage culvert needed: X no yes <br /> If culvert required, must meet Driveway Construction Guide standards. <br /> Agricultural use only: A no yes <br /> Shared driveway agreement required: no -yes <br /> 1. Shall comply with town private road ordinance and driveway <br /> construction guide for new driveways. <br /> 2. Shall contact Town Patrolman Davin Dah1k at 437-3648 before starting <br /> construction of the driveway. <br /> 3. No Town Building Permit or Dane County Zoning Permit ehell be issued <br /> until, Driveway Permit part 1 AND Part 2 has been issued. <br /> 4- 1 11L L-, ` See:! - 1 r7t.1 -"7 ..�/Q /`.1 //t ai/ mei2f <br /> *************t****************************** * **************t** **��*//*7'/ <br /> III. APPROVAL - Date Approved By Town Board: W 7 Date Issued: CJ' v ,i, / D 7 <br /> The Driveway Permit is valid for one gear from date of approval. rrr <br /> The Driveway Permit is pending recordation of the Certified Survey Map <br /> at Dane Coon = <br /> ermit P . Driveway Permit Part 2 &-• . _ • -- •d-. - Duplex <br /> $100.00 Fee , Romi -=:C:Dane oun Erosion Control Standards may <br /> apply. <br />