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TOWN OF COTTAGE GROVE <br /> DRIVEWAY PERMIT <br /> (For access from private property to a town road) <br /> Name and address <br /> of applicant r 11-r r Ar 0tv37 <br /> 4027 P <br /> C"Yi1 (be <br /> Phone (l " t? '5` 3 <br /> Location: ' side of <br /> t. r <br /> located miles/feet from / '1 I ° 6 41.y <br /> •in Section , Town of r 'r /"°'t } <br /> CONDITIONS <br /> Width of driveway: feet. <br /> Center of driveway from property line: feet. <br /> [ ] No drainage culvert needed. <br /> [ ) Drainage culvert needed Size: Length feet <br /> Diameter inches. <br /> Other requirements: <br /> Permit granted: Date <br /> Town of: <br /> [White copy-Town; Yellow copy-applicant; Pink copy-Dane County Zoning] <br />