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Town of Sun Prairie Driveway Permit Fee: $50 <br /> Road Damage Escrow: $1500. <br /> 5556 Twin lane Road <br /> Marshall,WI 53559 Location: <br /> I/4 of I/4,Sec. <br /> Application to Permit to Construct a Driveway <br /> (Access from private property to a town road) <br /> REQUEST BY APPLICANT <br /> Name trr L- <br /> Address 0—q PA- d) C <br /> Office phone Local phone: 1409,„sq - ,90x: <br /> Plans Prepared by a.a Copy Enclosed ✓es No <br /> Location of Proposed North,South,East,West Side of Road <br /> Access: <br /> Section# Feet/Miles from <br /> The applicant understands and agrees that the permitted work shall comply with all permit provisions and conditions <br /> listed on the reverse side hereof,any special provisions listed below or attached hereof,and any and all plans,details <br /> or notes attached h veto a d made a part thereof. <br /> By Title <br /> Sigma o Applicant <br /> Date <br /> Permit Conditions:Completed by Public Works personnel <br /> • Width of driveway <br /> • Center of driveway from property line: <br /> • Drainage Culvert Needed ✓No Drainage Culvert Needed <br /> Size: Length: Q241 feet <br /> Diameter %.4 2_4 inches <br /> All Culverts are to have ends <br /> Other All construction equipment must use this entrance to access lot.All Culverts must have ends <br /> Requirements (wings).adverb are to be completely installed prior to final inspection and approval by public <br /> works personnel. <br /> No construction materials are allowed in the public roadway.Dumping of landscaping <br /> materials(mulch,stone,topsoil,etc.)on the road will cancel the return of the$1,500 escrow. <br /> Estimated Starting Date if/,�/-• Estimated Completion Date Yi <br /> Notify the Town Office at 837-6688 when project is completed. <br /> DRWAY Permit Procedure Rev 4.16,15 4 <br />