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..1 :∎ 2jO,3 11:38 8808384213e <br /> PAGL. <br /> Other requirements: <br /> 1. Finished accesses must remain at or below,the grade of the roadway edge for a <br /> minimum of ten feet.A driveway may consist of concrete,gravel, or asphalt. <br /> The first(10) ten feet of driveway from the edge of the road inward may not be <br /> concrete, it must be gravel or asphalt. <br /> 2. Access base shall be in place prior to the start of construction and all vehicles <br /> entering the property shall use the access to protect the roadway edge. <br /> 3. In the event a culvert is required, said culvert shall he covered by sufficient <br /> material to protect it from the weight of vehicles using the access. <br /> 3. Placement and maintenance of culvert is the responsibility of the property <br /> owner. <br /> 5. Nothing may be placed in the public right-of way except legally constructed <br /> mailboxes <br /> 6. The Property owner is responsible for damage to road edge caused by <br /> construction. <br /> AKNOWLEDGEMENT: <br /> As owner of the above named property, I acknowledge and agree that I am responsible for <br /> any damage to the roadway, shoulder or right-of-way,which occurs during the <br /> construction process, up to and including any time period until an occupancy permit <br /> and/or final inspection notice from the Town of Albion Building Inspector is issued and <br /> received by the Town. I agree that the damage deposit of$1000.00 I make will be <br /> retained until the Town Board acts to release the deposit. Costs for any damage, solely <br /> determined by the Town, will be deducted from the deposit prior to return. <br /> Property tr Si nature Date <br /> ''(� <br /> Approval of initial access,.�,t, AG x.1,2,- /e' /0/(_'/a _._ <br /> Town Representative Date <br /> Additional Access: <br /> Access granted/denied by the Town Board on: —_— 20 <br /> Reason for denial <br /> Deposit amount: - Type: personal check <br /> money order/cashier's check <br /> Date deposit authorized to be returned by: Public Works Staff: <br /> Town Board: _ <br /> Date deposit authorized to be held by Town Board: <br /> Date deposit returned by Clerk;'Treasurer: n --� �T _ _- <br /> Comments: 3Tx l�ta ict141 e 5 GAY. L,4,c,�{C 1') f. <br /> C:'.Ducuments and Setting5\AdIninistra*O,!My D4cuments'access_permit.doc <br />