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,F,` Dane County Department of Public Works, Highway and Transportation <br /> ettv- <br /> ACCESS PERMIT <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 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 @aoi.com <br /> Existing Access? If yes,how modified? <br /> Yes ❑ Relocated ❑ Removed G 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 ,,282-aleet south A-1 v Yes Q No <br /> Type of Permit Requested: 1o'3 ' <br /> L . $110 Temporary Controlled Access ❑ $75 Temporary Non-Controlled Access <br /> ❑ $110 Agricultural Controlled Access LI $75 Agricultural Non-Controlled Access <br /> ❑ $110 Residential (single family)Controlled Access Fl $75 Residential (single family) Non-Controlled Access <br /> r li $220 Residential,Joint Access> 1 parcel Ll $220 Commercial, <100 ADT** <br /> $1,100 Private/Public, New/Existing,Street or Road I $550 Commercial,>1000 and<1,000 ADT <br /> Li $45 Miscellaneous ❑ <br /> $1,100 Commercial,>1,000 ADT <br /> "ADT denotes Average Daily Traffic. Data substantiating ADT for access or road 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 /> Traffic control shall be as per the MUTCD. <br /> Check#14931 ,,e,/,..„ /Ae,-^,c r`e /ssr, .cd ?ff ./ ..e 42 c.c -f ate 94 id.? .5-04. 1(._ 61.1 <br /> ift.._, /lt Iey <br /> y 7- G✓ S'G 0.f( 1.. 4 d 4e Gl"J;f 4 2 `l4e,, C3 r-// .,.,,ex/ 4641 j <br /> f <br /> 3/11/2014 <br /> By _- _ <br /> nature of Dane Courify Representative Date <br /> <_- reggar Petersen Highway Engineer 608-266-9081 <br /> Name and Title Phone <br /> Page 1 of 2 <br />