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0/2. 1 (1 W A-' f61 / T / <br /> . <br /> TOWN OF SPRINGDALE DRIVEWAY PERMIT'APPLICATION DATE: !J-/ ? - s <br /> I_ CONTACT INFORMATION - To be Completed by Applicant: <br /> Name and current address 37-0 ho iqe1'Sdw <br /> of applicant ?,ni k,t_exa &22-: --3,5-1:-3 <br /> Current telephone number: work (0 S(o Ce ,c7)• home , <br /> Driveway location in Springdale: DQ v-1,0 _f- <br /> % Q ' <br /> Location: west Yeast south north side of taa.. __Sec. 31, <br /> Parcel number: J(0 y 3 7-3 ya -/ <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 bui%ding 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 /> *********************, ,*********************************************.*** <br /> II. CONDITIONS - To be completed by Town Board member or its agent: <br /> _---- 2 Width of single-use driveway: 12' driving surface, 14' road bed. <br /> Width of shared driveway: 16' driving surface, 18' road bed. - <br /> Maximum grade of 10%. Shared driveway agreement required: Ko yes <br /> Drainage culvert needed: no X yes Agricultural use only: X no yes <br /> If culvert required, must meet Driveway Construction Guide standards. <br /> •er requirements: <br /> Shall comply with town private road ordinance and driveway construction <br /> INIFde for new driveways. /0%, S/o y,e a 1.7.6a,/j7k/%Ic a/-eC//'m (. <br /> Shall contact Town Patrolman Devin Dahlk, at 437-3648, before starting <br /> onstruction 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 /> 4. This approval is subject to conformance with the Town-approved building <br /> envelope(s) on file in the Town of Springdale Town Hall. <br /> ******************************************** ** *************** **77* <br /> III. APPROVAL - Date Approved By Town Board: / Date Issued:gic. <br /> The Driveway Permit is valid for one year from date of approval. <br /> 1 <br /> The Driveway Permit is pending recordation of the Certified Survey Map at <br /> Dane County Register of Deeds <br /> Grmit Part 1., Driveway Permit Part 2, in le Residen , Duplex, Agricultural <br /> $100.00 Fe_ej X Reminder: Dane County Erosion Control Standards may apply.' , , 0-yriLe7 <br /> /• <br /> . fe.y4,11/--64G-11-tc4-7 ---ti--11/7/3' d5-611(e4//2" ' <br />