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TOWN OF DEERFIELD <br /> DRIVEWAY PERMIT <br /> (For accese from private property to a town road) <br /> Name and addreea �/ <br /> of applicant JCfcec i A- �AVUmlOio <br /> 5 71 a 1) J YA +,Thtk 7 11 <br /> ivnomk <br /> Phone 606- 7 7S` I LI1O <br /> Location: .f'�-t,L A aide of 2 a rl elPc <br /> located co G? miles 4.111 roue H l 7 3 <br /> in Section // , Town of D f' e/ + � e /(I <br /> CONDITIONS <br /> Width of driveway: feet. <br /> Center of driveway from property line: feet. <br /> NJ No drainage culvert needed. <br /> [ ] Drainage culvert needed Size: Length feet <br /> Diameter inches. <br /> Other requirements: <br /> Permit granted: Date <br /> Town of: () <br /> [White copy-Town; Yellow copy-applicant; Pink copy-Dane County Zoning] <br />