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TOWN OF ALBION <br /> ACCESS "DRIVEWAY"APPLICATIONAVD PERMIT <br /> FROM PRIVATE PROPERTY TO A TOWN ROAD <br /> Cost of Access Permit is $25.00 Deposit: $1000.00 <br /> Name of Applicant I As ,'i ' <br /> Street Address: Aye's T Gj - '-J S/ <br /> City, State, Zip: Std� i-ir9 GJs Phone: 'c -a/3 — /gv 7 <br /> Property Owner Name(if different from Applicant) <br /> Street Address: <br /> City, State,Zip: <br /> This property is: id ntia ommercial agricultural manufacturing(circle one) <br /> Parcel# o57 a20S1/375-g70 <br /> Construction location: North/South/East est ide of,, / . <br /> (Road on which acis located) <br /> located /air-ft, from /ti". am() EVdt/i <br /> (Intersection of town/town or town/county rd) l <br /> in Section 25,Town of Albion. <br /> ATTACH A DRAWING OR MAP SHOWING ACCESS LOCATION ON ABOVE <br /> PROPERTY. Specify footage from lot lines and show all existing accesses. <br /> Stopping Site Distance Available: /.S'S-74" <br /> Posted Speed Limit: <br /> Stopping Site Distance Required at Posted Speed Limit: /3S <br /> Remarks: <br /> NOTE: Stopping sight distance for driveways is measured with an eye height of 3.5 feet above <br /> the pavement and an object height of 0.5 feet above shoulder elevation. To Determine "Stopping <br /> Sight Distance",please refer to the DOT Values Table. <br /> C:1UserslAlbion\Documents\DRIVEWAY APPLICATION&PERMITdocx <br /> 4t24/06 <br />