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TOWN OF PLEASANT SPRINGS <br /> ACCESS DAMAGE DEPOSIT APPLICATION AND PERMIT <br /> FROM PRIVATE PROPERTY TO A TOWN ROAD <br /> Property Owner's Name: ,i74,e6 --- <br /> Street Address: ; Cox �t ,&'?1) /.) <br /> City, State, Zip: .iz/G ..,/1 iv/1 -53S6 7 Phone: <br /> This property i . residenti commercial agricultural manufacturing <br /> Parcel#046/0611312.-6e67- r3 Subdivision Lot Number 7 <br /> Construction location: Nort ou East/West Side of <br /> (Road on which access is locate <br /> located .6- feet from1�,��i � <br /> (Intersection of town/town or town/county rd) <br /> in Section , Town of Pleasant Springs. <br /> CONDITIONS <br /> ATTACH A DRAWING OR MAP SHOWING ACCESS LOCATION ON THE SUBJECT <br /> PROPERTY. You must specify footage from lot lines and show all existing accesses. <br /> All access driveways to all residential, commercial, and manufacturing properties shall be no less than 24 <br /> feet in width from the town road through the entire length of the road right-of-way to the private <br /> property. <br /> All culverts must have end sections attached. [Section 11.09(7)(B) of the Municipal Code] <br /> Purpose of Access Permit 46-id 4,1)&1-- / 7)3,C7 OA <br /> Applicant is using existing driveway. <br /> Applicant is not required to provide a map. (Public Works Initials ) <br /> Center of driveway from property line: feet. <br /> X. No drainage culvert is needed. (Public Works Initials R.04 . ) <br /> Drainage culvert Size: Length: feet; diameter: inches. <br /> Parking Exception Section <br /> *Please note there is no parking on Town Roads in the Town of Pleasant Springs. Unless a parking <br /> exception is indicated below, all contractors and subcontractors are prohibited from parking on Town <br /> Roads in accordance with Town Ordinance 202. Violators will be cited. <br /> _ _An exception to Town Ordinance 202 regarding the prohibition of parking on Town roads is granted for , <br /> this project.Any vehicles used for this project must be parked on the5iloilji side of /,ems 41 I <br /> (street) ONLY and off the road as much as possible. (It is YOUR responsibility to ensure contractors and <br /> subcontractors are restricted to this side of the street. Violators WILL be cited) <br /> If this request is for an additional access: <br /> • Property size in acres: <br /> • Total road frontage on the road from which the proposed access would serve the parcel <br /> • Measurement between centerlines of the existing and proposed accesses in feet <br /> Revised 01/22/2015 <br /> 7:\Word files\ROADS\Documents\access permit updated 2015 doe <br />