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FROM : PHONE NO. : Aug. 20 2015 10:58AM P1 <br /> Jac <br /> a 7ft..lee 7 FAX = . 066 _ <br /> TOWN OF SPRINGDALE DRIVEWAY PERMIT APPLICATION• -.DATE: . 651/ <br /> I. CONTACT INFORMATION - To be Completed by Applicant: JJJ <br /> Name and current address / 1a,, / �d��- <br /> of applicant (" r/ <br /> 23y 'Z -T,1,-41 Aka Li <br /> Current telephone number: work home �-L( 3 0 oZ, <br /> Driveway location in Springdale! 34/1.t oaf 3‘R. / [A.cll j <br /> Location: X west east south north side of/ //0aec. <br /> Parcel number: <br /> 1. Contact Ed Eloranta, Town Chairman, #437-4692, to arrange a site visit. <br /> 2. Please bring to the site visit copies of any and all deed restrictions, <br /> sketch of Town-approved building envelopes, property agreements, etc. which <br /> could impact the location of the driveway and buildings. <br /> 3. Please attach a drawing of the driveway location discussed at the site <br /> visit and return to the Town of Springdale, 2379 Town Hall Rd. , Mt. Horeb, WI <br /> 53572 as soon as possible after the site visit. <br /> r*.*****************************************************************ti** <br /> II. CONDITIONS - To be completed by Town Board member or its agent: <br /> Width of single-use driveway: 12' driving surface, 14' road bed. <br /> Width of shared driveway: 16' driving surface, 18' road bed. <br /> ximum grade-of 10'S` Shared driveway agreement required: �no yes <br /> Drainage culvert needed: no yes Agricultural use only:_no yes <br /> be ,r' <br /> If culvert required, must meet Driveway Construction Guide standards. <br /> er requirements: <br /> .hall comply with town private road ordinance and driveway construction <br /> • de for new driveways. <br /> 2/ Shall contact Town Patrolman Devin Dahik, at 437-3648, before starting <br /> of the driveway. <br /> 3. No Town Building Permit or Dane County Zoning Permit shall be issued until <br /> Driveway Permit Part 1 AND Part 2 have been issued. <br /> his approval is subject to conformance with the Town-approved building <br /> velope(s) on file in the Town of Springdale Town Hall. <br /> ********************************************* ******************�,r**/y�rr5* <br /> III. APPROVAL - Date Approved By Town Board:6 �y Date Issued: i!(d•��l,Y <br /> The Driveway Permit is valid for one year from date of approval. �� <br /> The Driveway Permit is pending recordation of the Certified Survey Map at caf E76,ra..�Ta, <br /> Dane County Register of Deeds <br /> Permit Part 7. Drivew. Permit Part 2 +- • - = Duplex, Agricultural <br /> $100.00 Fee Reminder: Dane Coun Erosion Control,Standards may apply- <br />