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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 /> ! <br /> Phone r"- - <br /> Location: side of / <br /> located miles/feet from -1/ 7 /4 <br /> in Section , Town of fr, <br /> I <br /> CONDITIONS <br /> Width of driveway: feet. <br /> Center of driveway from property line: feet. <br /> [ ] No drainage culvert needed. <br /> C ) Drainage culvert needed Size: Length / i feet <br /> Diameter inches. <br /> Other requirements: <br /> IT <br /> Permit granted: w Date <br /> Town of: <br /> [White copy-Town; Yellow copy-applicant; Pink copy-Dane County Zoning] <br />