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NOV-15-2000 12:43 P.09 <br /> TOWN OF BL E MOUNDS <br /> DANE COUNTY, WISCONSIN <br /> DRIVEWAY CONSTRUCTI N APPLICATION, <br /> PERMIT OD INSPECTION FORM <br /> PART I: (Application) <br /> TO THE TOWN BOARD'; The undersigned hereby applies fora erm it to <br /> construct a driveway in the Town of Blue Mounds, Dane County, <br /> Wisconsin. The driveway will be in Section —22 'of the Town of <br /> Blue Mounds, off Hwy or Town Road Barton Road <br /> through the property. owned by: <br /> Name of Property Owner Gar and Cath Sutter <br /> Signature / i ,` r I. ur ./. : Date 4497 <br /> Mailing Address 22 0 Hw 7: <br /> Mount Hore. WI 53572 <br /> Name of Applicant Gary ADA rates �utro= <br /> 1 <br /> Signature L d Date J//iSO 7 <br /> Mailing Address sam- <br /> Contractor TO' Be_j1Pt r <br /> A driveway construction plan and ero i <br /> presented to the Town Board by coo °n control plan will be <br /> Town D,t'�artgr <br /> Does applicant desire to use materia from the excavation of the <br /> house site to provide fill for the proposed driveway? <br /> X NO <br /> YES (If "yes" , an excavation permit must <br /> be obtained from Town Chairperson. <br /> I <br /> Proposed driveway length (in feet) a. . . . , , , ' Lot 3 <br /> Application fee $ OD , Vii, . <br /> Date fee received IT, /4 _ R 7 <br /> (over) <br />