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TOWN OF PLEASANT SPRINGS <br /> ACCESS DAMAGE DEPOSIT APPLICATION AND PERMIT <br /> FROM PRIVATE PROPERTY TO A TOWN ROAD <br /> Property Owner's Name: CA th sf` C$,sl t-4`1. t,f`1`cXs �/r <br /> Street Address: 'j`Ike <br /> City, State, "Lip: S o. Phone: O <br /> This property is esident.,■ commercial agricultural manufacturing <br /> Parcel#046/0611_ jrj -'] •L/? - 9 Subdivision Lot Number <br /> Construction locatio : North outh/East/ West Side of cc/f l ill or <br /> (Road on which access is to ted 1� �/ <br /> located _/ feet from Brown beer Rc 4�l <br /> (intersection of town/town or town/county rd) <br /> in Section 1 1 _, Town of Pleasant Springs. <br /> CONDITIONS <br /> ATTACH A DRAWING OR MAP SHOWING ACCESS LOCATION ON THE SUBJECT PROPERTY. <br /> You must specify footage from lot lines and show all existing accesses. <br /> All access driveways to all residential, commercial, and manufacturing properties shall be no less than 24 <br /> feet in width from the town road through the entire length of the road right-of-way to the private <br /> property. <br /> All culverts must have end sections attached. [Section 11.09(7)(B) of the Municipal Code] <br /> Purpose of Access Permit /1/0 tkr►'1 e 49ih5/PUG/r00-1 <br /> Applicant is using existing driveway. <br /> Applicant is not required to provide a map. (Public Works Initials ) <br /> Center of driveway from property line: feet. <br /> No drainage culvert is needed. (Public Works Initials ) ' <br /> _.,\C-Drainage culvert Size: Length: feet; diameter: _1_�_inches. Low . eitv,l, -fir <br /> a� ` r1e 1,4) s: <br /> Parking Exception Section <br /> *Please note there is no parking on Town Roads in the Town of Pleasant Springs. Unless a parking <br /> exception is indicated below, all contractors and subcontractors are prohibited from parking on Town. <br /> Roads in accordance with Town Ordinance 202. Violators will be cited. <br /> An exception to Town Ordinance 202 regarding the prohibition of parking on Town roads is granted for <br /> this project. Any vehicles used for this project must be parked on the side of <br /> (street) ONLY and off the road as much as possible. (It is YOUR responsibility to ensure contractors and <br /> subcontractors are restricted to this side of the street. Violators WILL be cited) <br /> If this request is for an additional access: <br /> • Property size in acres: <br /> • Tota.: road frontage on the road from which the proposed access would serve the parcel <br /> • Measurement between centerlines of the existing and proposed accesses in feet <br /> Revised 01/22/2015 <br /> C:\Users\marcia\AppData\Local\Microsof\Windows\Temporary Internet Files\Content.IE5\KN5K8Y2E\access permit updated 2015.doc <br />