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, <br /> TOWN OF CROSS PLAINS DRIVEWAY PERMIT APPLICATION <br /> DATE: 6—c2v-/3 <br /> I.CONTACT INFORMATION-To be Completed by Applicant: <br /> Name and current address PpxJ(342.6 <br /> of applicant • <br /> gross 6 A cr 201 tYlOctNi?rto4.£r3 wZ (51-35'a <br /> Current telephone number:`w`ork 608-)7.2-"SO q home 6 01'" )Pr-IjTel <br /> Driveway location in Cross Plains: <br /> Location:west east south k north side of Sec. a' W W C c)CPC R. <br /> Parcel number: cc M La,8S' LOr 1 ingetwetear 070•7 429 QirrO011 Utigeel MI) <br /> Contact Town Chairman,#798-0189,to arrange a site visit. <br /> Please attach a drawing of the driveway location discussed at the site visit and return to the Town <br /> of Cross Plains,3734 County Road P,Cross Plains,WI 53528,Phone (608)798-0189 <br /> as soon as possible after the site visit. <br /> *********************************************************************** <br /> II. CONDITIONS-To be completed by Town Board member or its agent: 4 a <br /> io ?Amer -re.P Qep n i& je <br /> Width of driveway: 14 feet Maximum grade of 12%. <br /> \, t f <br /> Drainage culvert needed: no IC yes ,^ <br /> If culvert required,must meet Driveway Construction Guide standards. <br /> Agricultural use only: •4no yes t <br /> Shared driveway agreement required: )(--'no yes . <br /> Z. <br /> Other requirements: <br /> 1.Shall comply with town private road ordinance and driveway construction guide for new <br /> driveways. <br /> 2.Shall contact Town Patrolman before starting construction of the driveway. <br /> 3.No Town Building Permit or Dane County Zoning Permit shall be issued until Driveway <br /> Permit Part 1 AND Part 2 has been issued. - <br /> 4. <br /> III.APPROVAL—Date Approved By Town Board: fiM■ate Issued: VIP 3 <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 Dane County \' <br /> Register of Deeds / ■ <br /> Permit: Part 1 Driveway Permit Pa ingle Residence 4 . <br /> $200.00 Fee 3 <br /> Reminder: Please check with Dane Co. Land nd Water Resources Department on soil erosion <br /> permits to see if required. t1/43( k�ti <br /> Dcav ,pt cc. %stator 7'Wjfip,ht cry or-- - (V�%u�M_ Po c kvr"�Xi IN <br /> APel- <br /> Z k-r A__ slam PA PC�721Y LA N E 4(0v f(K5851-- <br /> c* eAstiZN PkoPw' 1-i N . .--1' tW. LEb INS <br /> 1A©USG 45cz o7j . A)RI,v e jZ v t FiYJ TO ' i 64x). <br /> Lu 1?)M«' Z Bow AgppcNA-L - ,, <br />