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12-03-14;03:26PM; ;608-825-4864 # 2/ 2 <br /> Town of Sun Prairie <br /> Driveway Permit Application <br /> (Access from private property to a town road)NAM E OF APPLICANT: 2p ( rocs 19-044 �C (i-k &t i(,u14144avvir) <br /> j <br /> ADDRESS OF APPLICANT: 623 gCt gel l Ctgt <br /> &Vt I Vaiv c i 3590 <br /> 614 afflict:L(4s tMQY Lvi rii sD <br /> a <br /> PHONE NUMBER: 60g— -S S <br /> T.o OF PROPOSED ACCESS., <br /> Rea. Sou , t, West side of :44 kAl Road <br /> (cum ooe) pp <br /> Located r—`' 30C) mile 40 rom Qiydt <br /> In Section 11' ,Town of Sun Prairie <br /> PERMIT CONDITIONS <br /> (To be completed by Town Personnel) <br /> Width of driveway 1° feet. <br /> Center of driveway from property line: 44 ) feet. 4+.y b <br /> D4 No drainage culvert needed. + G►+f <br /> [ ) Drainage culvert needed. Size: Length feet <br /> Diameter inches <br /> All culverts arc to have ends <br /> Other Requirements: <br /> All construction equipment must use this entrance to access lot. All culverts must <br /> have ends(wings). Culverts are to be completely installed prior to final inspection and <br /> _approval by highway personnel. <br /> Permit grante••�G-�,�'�� Date /• ' ✓3 <br /> own Officio %•esignec Signature <br /> a.4 S888T1,1.809 suap.1e9 1.Y04uo40S WdSS : TT t,rDC 1 <br />