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Distance from.the side setbacks of the rop ert , <br /> J. <br /> 'Zoning classification of P p 3 <br /> the subject property <br /> Number of foot from intersections of any town/town or town/county roads: <br /> C!" l .. ._.. 4: <br /> 1. Finished accesses must remain at, or below, the grade of the roadway edge for a minimum of ten feet. <br /> 2. Access base shall be in place prior t o the start of construction and all vehicles entering the property shall use <br /> the access to protect the roadway edge. <br /> 3. In the event a culvert is required, said culvert shall be covered by sufficient material to protect it from the <br /> weight of vehicles using the access. <br /> 5.4. Placement and maintenance of culvert is the responsibility of the property owner. <br /> All dime isio ns and construction of accesses will adhere to Dane County and Pleasant Town of r�easa-rt ,:,1;,.�:; ; <br /> 5. Nothing may be placed in the public right-of way except legally constructed mailboxes. <br /> 7. The Property owner is responsible for damage to road edge caused by demolition and/or construction. <br /> .:Y = e Frojar :; co .1eye` pir se co... act `l_ s t a f f . <br /> . .,.1•^' .A; n.y n •L..v ��. <br /> 5ai 4 43••J•i 3 fo: ..15x,actio21 .^,: .1 of . <br /> .tJJa7.�n'eP ,i.l J'�i�L:�J n ui:y <br /> 7 <br /> ____rl. a .i...,.'ice_ Y�Y o: 1-c i _t; a im'ent .�.t .5D3-MS-9169 l .i o r c ,..i ... <br /> !'- vii . •D,i-��5 completion �C:C'C�?� C9tw. <br /> GEM ENT: <br /> As owner of the above named property, I acknowledge and agree that I am responsible for all damages I cause, <br /> or caused by any contractor or agent retained by me, to the roadway, shoulder, or right-of-way that occurs as a <br /> result of the demolition and/or construction process, including damage caused by equipment traveling to the <br /> work site, up to and including such time as an occupancy permit and/or completion certificate from the TOPS <br /> wilding Inspector or Public Works Staff is issued and received by the Clerk. I agree that the damage deposit of <br /> $1C00.00 will be deposited and retained by the town until the Town Board acts to release the deposit. Costs for <br /> any damage, determined solely by the Town Board, will be deducted from the deposit prior to return. I <br /> understand that no deposit will be returned until: <br /> a. An Occupancy Permit has been issued by the Town of Pleasant Springs Building Inspector, or <br /> b. A Completion Certificate has been issued by the Public Works Staff, and <br /> c. The Town Board acts to approve the release of all, or a portion of, the deposit and requests a check to <br /> be issued to the.property owner. <br /> if the damages exceed the damage deposit, I agree to promptly reimburse the Town upon receipt of an invoice <br /> detailins same. I agree that unpaid amounts will accrue interest at a rate of 1.5%per month. • <br /> Pi..erty Own e'r Signature • Date <br /> Approval of initial access Ve Ze'L..7 F f <br /> Town n Representative bad <br /> - <br /> • <br /> Date Deposit Received: Date Deposit authorized to be returned: __— J <br /> Additional Access Granted'):.,lied b; aw.ti Board on: Reason for denial: <br /> � .. <br /> C:\User,,:arcia\App llataltocalNicrosoft\WydowsVremporsry In:crtct Piles\Contefit.0 5\KN5KSY2L\access permit updated 2015.doe <br />