Laserfiche WebLink
ct <br /> DATE: V/by Town of Springfield Fee: /50 <br /> t` Driveway Permit Ck. #: <br /> { <br /> Name&Address of Applicant: Driveway Location: <br /> Pz-) GLQ y�\��. , L 6-c Road Name: 6 / /G Doi r PI D, �•' �- <br /> 3•k . _4( 11) \ <br /> (N/S/E/W) side <br /> RcRai s, p <br /> Feet(N/S/E/W) of <br /> Phone: tDr-223- '1 7.3 !j Section L t# ? <br /> Subdivision 0> . ! ;y <br /> v � I <br /> CONDITIONS: <br /> For access from private property to a town road the permitted driveway must meet all <br /> requirements per Town Ordinance 4.18 which includes the following: <br /> Driveway Construction Plan <br /> Erosion control permit if needed <br /> Culvert(made of corrugated metal), with approved end walls, if required <br /> Size: i -' 1,/ f <br /> Signed certification that applicant agrees to abide by town ordinance <br /> Applicants Signature Nra. `�`I �1 .A Date: <br /> Permit Granted By: LLG/// Date: /1344 r <br /> (Town of Springfield Designee) <br /> { <br /> (White copy- Town, Yellow-Applicant, Pink-Dane County Zoning) <br />