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Dane County Department of Public Works, Highway and Transportation <br /> .! ACCESS PERMIT <br /> se m* <br /> This permit is required and shall be issued in accordance with the provisions of Section 83.027 of the Wisconsin Statutes and Chapter 79 of the Dane <br /> County Code of Ordinances. <br /> Name Co.Trunk Hwy in which access is requested: <br /> Jessica Boyd B <br /> Street Address <br /> 2395 County Highway B <br /> Town,Village,City Section <br /> Town of Pleasant Spring 21 <br /> City State Zip <br /> Stoughton WI 53589 <br /> Hoe Phone Work Phone sax Number E-Mail Address <br /> (608) 862-2070 (608) 862-3141 (608) 862-3395 jes1b17 @hotmail.com <br /> Existing Access? If yes,how modified? <br /> No ❑ Relocated ❑ Removed 15I Change of Use ❑ Culvert Replace ❑ Asphalt Paving <br /> Describe Use: <br /> Rezone 1 acre to construct single family residential home. <br /> North/South/EastNVest Side Nearest Cross Road Distance&Direction of nearest cross rd Existing Zoning: Meets Intended Use? <br /> North County Road N 1,980 feet east Al-Ex p Yes ❑ No <br /> Type of Permit Requested: <br /> ❑ $110 Temporary Controlled Access ❑ $75 Temporary Non-Controlled Access <br /> ❑ $110 Agricultural Controlled Access ❑ $75 Agricultural Non-Controlled Access <br /> ❑ $110 Residential (single family)Controlled Access 51 $75 Residential (single family) Non-Controlled Access <br /> ❑ $220 Residential,Joint Access> 1 parcel ❑ $220 Commercial, <100 ADT** <br /> ❑ $1,100 Private/Public, New/Existing, Street or Road ❑ $550 Commercial, >1000 and <1,000 ADT <br /> ❑ $45 Miscellaneous ❑ $1,100 Commercial,>1,000 ADT <br /> "ADT denotes Average Daily Traffic. Data substantiating ADT for access or road intersections maybe required. <br /> Fees paid in full on 5/14/2014 <br /> PERMIT APPROVAL BY DANE COUNTY COUNTY PERMIT NO. 14A016 <br /> The application submitted is hereby approved and this permit is issued by Dane County subject to full compliance by the Applicant with all provisions <br /> and conditions stated herein and on the reverse side hereof and all attachments hereto. <br /> Other Special Provisions: <br /> This permit is contingent on all other Local, State and/or County Agency permits, zoning and requirements. An 18" diameter <br /> culvert(option 21"x15"arch culvert)30 feet long with approved metal apron endwalls is required at this location. The <br /> driveway shall be constructed to drain away from the edge of road for a minimum of 8'as per the attached drawing. <br /> Check#1012 <br /> By 7/14/2014 <br /> e of Dan County Representative Date <br /> Gr-•gar Petersen Highway Engineer 608-266-9081 <br /> Name and Title Phone <br /> • <br /> Page 1 of 2 <br />