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11-05-09;09:33AM; # 1/ 1 <br /> F--4.1,7\ g 14 z,...... op o 7 <br /> Town of Sun Prairie <br /> Driveway Permit Application <br /> (Access from private property to a town road) <br /> NAME OF APPLICANT: 4.-)l.1 P-- C Ll 761h R(Li L.Agks- <br /> ADDRESS OF APPLICANT: : -.36 0:> 7 Z- 7a aU Cgcs Si hs-&- <br /> St,we Pd°cti-t i SAO <br /> PHONE NUMBER: C-- 83 ( ' --171 a <br /> i.---0-rt <br /> LOCATION OF PROPOSED ACCESS.; <br /> North, South East, West side of IJ----- Road <br /> (circ e ono) <br /> Located ,520 merles/feet from 7a i IA-11/4.)E eas k i) <br /> In Section /3 ,Town of Sun Prairie <br /> PERMIT CONDITIONS <br /> (To be completed by Town Personnel) <br /> Width of driveway feet. <br /> Center of driveway from property line: feet. <br /> f ]No drainage culvert needed. <br /> ^Drainage culvert needed. Size: Length &0 feet <br /> Diameter inches <br /> All culverts are to have ends <br /> Other Requirements: <br /> All construction equipment must use this entrance to access lot. All culverts must <br /> have ends(wings). Culverts are to be completely installed prior to final inspection and <br /> approval by highway personnel. <br /> Permit granted; A Date 6. <br /> 1 ///5/0.2.0 <br /> Town Official/De ' e ignature <br />