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TOWN OF COTTAGE GROVE <br /> DRIVEWAY PERMIT <br /> (For access from private property to a town road) <br /> Name and address <br /> of applicant <br /> 9L? kJc t <br /> ( 1Ac )`)-4-3") <br /> Phone <br /> Location: aide of 4* , <br /> located miles/feet from / 1.,cj, & 7f 01- ik A <br /> A <br /> in Section Town of it <br /> CONDITIONS <br /> Width of driveway: feet. <br /> Center of driveway from property line: feet. <br /> ) No drainage culvert needed. <br /> C),-1 Drainage culvert needed Size: Length <br /> feet <br /> Diameter inches. <br /> Other requirementa: <br /> 't .(..; 41- <br /> Permit granted: Date -7 - <br /> Town of: <br /> [White copy-Town; Yellow copy-applicant; Pink copy-Dane County Zoning) <br />