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Page 2 of 2 <br /> Lot 2, CSM 12360—CTH PB <br /> Driveway Inspection: The applicant shall notify the Town of Verona Deputy Clerk/Treasurer within(5) <br /> working days from the completion of construction or improvement of the driveway. Please call the town office at <br /> 845-7187,(Mon—Fri)between the hours of 8:00am and 2:00pm. The Town Project Manager shall conduct an <br /> inspection of the driveway to ensure full compliance with all provisions of the driveway ordinance and terms of <br /> the construction permit. <br /> (For office use) <br /> Date of Request: Requested By: Phone#: <br /> Job Action: <br /> Job Action: <br /> Job Action: <br /> Job Action: <br /> (For office use) <br /> DATES: <br /> APPLICATION FEE: $250.00 07-27-15 <br /> ESCROW FEE PAID: $1,000.00 07-27-15 <br /> Driveway Plan Review $ 07-24-15 <br /> 1s` Field Inspection $ 07-24-15 <br /> 2"d Field Inspection <br /> Final Inspection $ <br /> Legal Fees $ <br /> Other $ <br /> Escrow Balance Refunded $ <br /> ESCROW REFUND: <br /> DATE: <br /> CHECK#: <br /> ob <br />