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,; �, Dane County Department of Public Works, Highway and Transportation <br /> ACCESS PERMIT <br /> 4sc; so <br /> This permit is required and shall be issued in accordance with the provisions of Section 83.027 of the Wisconsin Statutes and Chapter 79 of the Dane <br /> County Code of Ordinances. <br /> Name <br /> Co.Trunk Hwy in which access is requested: <br /> Wayne Ace D <br /> Street Address Town,Village,City Section <br /> 1219 County Highway D Town of Oregon 8 <br /> City <br /> State Zip <br /> Oregon WI 53575 <br /> Home Phone Work Phone Fax Number E-Mail Address <br /> (608)835-5607 (608) 576-7281 wace0225 @aol.com <br /> Existing Access? If yes,how modified? <br /> Yes LI Relocated ❑ Removed Siel Change of Use ❑ Culvert Replace ❑ Asphalt Paving <br /> Describe Use: <br /> Existing agricultural access to be used as joint residence/ag access. <br /> North/South/East/West Side Nearest Cross Road Distance&Direction of nearest cross rd Existing Zoning: Meets Intended Use? <br /> West Sun Valley Parkw 2,663 feet south A-1 w Yes ❑ No <br /> Type of Permit Requested: <br /> L I $110 Temporary Controlled Access U $75 Temporary Non-Controlled Access <br /> ❑ $110 Agricultural Controlled Access ❑ $75 Agricultural Non-Controlled Access <br /> ❑ $110 Residential(single family)Controlled Access C❑ $75 Residential (single family) Non-Controlled Access <br /> Nei' $220 Residential,Joint Access> 1 parcel ❑ $220 Commercial, <100 ADT** <br /> (_ 1 $1,100 Private/Public, New/Existing, Street or Road f $550 Commercial, >1000 and <1,000 ADT <br /> ❑ $45 Miscellaneous ❑ $1,100 Commercial,>1,000 ADT <br /> "ADT denotes Average Daily Traffic. Data substantiating ADT fur access cm wad intersections may be required. <br /> Fees paid in full on 3/5/2014 <br /> PERMIT APPROVAL BY DANE COUNTY COUNTY PERMIT NO. 14A004 <br /> The application submitted is hereby approved and this permit is issued by Dane County subject to full compliance by the Applicant with all provisions <br /> and conditions stated herein and on the reverse side hereof and all attachments hereto. <br /> Other Special Provisions: <br /> This permit is contingent on all other Local, State and/or County Agency permits,zoning and requirements. No culvert is <br /> required at this location. The driveway must be graded to slope away from the edge of roadway for a minimum distance of 8 <br /> feet. <br /> Permit 14A004 modified to change the location from 2,825 feet south of Sun Valley Parkway to 2,663'south. No access will <br /> be allowed 2,825 feet south. <br /> Traffic control shall be as per the MUTCD. <br /> Check#14931 <br /> By 3/11/2014 <br /> ature of Dan County Repre-: ative Date <br /> reggar Petersen Highway Engineer 608-266-9081 <br /> Name and Title Phone <br /> Page 1 of 2 <br />