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. „ , <br /> . , <br /> pie/ & ✓Q y P6rm/7 1. f- / .7 .z.2 <br /> TOWN OF SPRINGDALE DRIVEWAY PERMIT ApPLICATION DATE: / /S ..261/S- <br /> • <br /> I. CONTACT INFORMATION - To be Completed by Applicant: <br /> Name and current address T v1't 4,76 <br /> of applicant • l4 61.( e3 ' -"‘'' -"‘'C' a'., illgil ` 42 '' /, <br /> • <br /> C 3 <br /> • <br /> Current telephone number: work // home 393-- ?- ?-• <br /> - Driveway location in'Springdale: !ead44 r A <br /> Location: west east south north side of 4.d/�j i Sec. • <br /> Parcel number: al-0 ? -k 51-Q3 30 <br /> 1. Contact Ed Eloranta, Town Chairman, 11437-4692, 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 buildling 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 /> II. CONDITION - •-•- - - - • ' - -- - - -er or its agent: <br /> 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 /> • <br /> • er requirements: <br /> Shall comply with town private road ordinance and driveway construction <br /> • ide for new driveways. s _ a '-, ' 74 G:GC.QiG41-' <br /> 2. hall contact Town Patrolman Devin Dahlk, at 437-3648, before starting <br /> construction 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 /> ********************************************* ** **************** * **** <br /> III. APPROVAL - Date Approved By Town Board02l -Date Issued:AO� J . <br /> The Driveway Permit is valid for one year from date of approval. <br /> The Driveway Permit is psending recordation of the Certified Survey Map at . <br /> Dane County Register of Deeds <br /> • <br /> . ' Permit Part 2, Single Resid= .- = , Duplex, Agricultural <br /> $100.00.Fee Reminder: Dane County Erosion Control Standards may apply. <br /> 1O )-f$ <br /> • <br />