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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 /> 1 ,, <br /> Phone ° n I I) ^-v) <br /> Location: side of 1 '' 14 m <br /> i 4-- <` ,, 1 • <br /> located miles/feet from t ' f <br /> in Section , Town of n~.• r ht <br /> CONDITIONS <br /> Width of driveway: feet. <br /> Center of driveway from property line: feet. <br /> C ] No drainage culvert needed. <br /> [ ) Drainage culvert needed Size: Length feet <br /> Diameter inches. <br /> Other requirements: <br /> Permit granted: Date <br /> ( 1 <br /> Town of: <br /> [White copy-Town; Yellow copy-applicant; Pink copy-Dane County Zoning) <br />