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TOWN OF ALBION <br /> ACCESS "DRIVEWAY"APPLICATION AND PERMIT <br /> FROM PRIVATE PROPERTY TO A TOWN ROAD <br /> Cost of Access Permit is $25.00___D.epos#$1OOO.00-------w--_.__....__ <br /> No Driveway permit needed. Building Home using existing Driveway. <br /> Deposit Only <br /> Name of Applicant Casey Lund <br /> Street Address: _786 Aarback Rd <br /> City, State, Zip: _Edgerton, WI 53534 Phone: _608-449-6531 <br /> Property Owner Name (if different from Applicant) <br /> Street Address: <br /> City, State, Zip: <br /> This property is: residential commercial agricultural manufacturing(circle one) <br /> Parcel # 002/0512-033-9280-0 <br /> Construction location: North/ South/ East/West Side of <br /> (Road on which access is located) <br /> located _ from <br /> (Intersection of town/town or town/county rd) <br /> in Section 25, Town of Albion. <br /> ATTACH A DRAWING OR MAP SHOWING ACCESS LOCATION ON ABOVE <br /> PROPERTY. Specify footage from lot lines and show all existing accesses. <br /> Stopping Site Distance Available: <br /> Posted Speed Limit: <br /> Stopping Site Distance Required at Posted Speed Limit: <br /> Remarks: <br /> NOTE: Stopping sight distance for driveways is measured with an eye height of 3.5 feet above <br /> the pavement and an object height of 0.5 feet above shoulder elevation. To Determine"Stopping <br /> Sight Distance", please refer to the DOT Values Table. <br /> C:\Users\Albion\Documents\DRIVEWAY APPLICATION&PERMIT.docx <br /> 4/24/06 <br />