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i TOWN OF PLEASANT SPRINGS <br /> ACCESS DAMAGE DEPOSIT APPLICATION AND PERMIT <br /> FROM PRIVATE PROPERTY TO A TOWN ROAD <br /> Property Owner's Name: r 16h GL-f' ree <br /> Street Address: /I Ci m 5 ( /'€. <br /> City, State, Zip: Phone: 46^ _ - <br /> This property is: residential commercial gricultural manufacturing <br /> Parcel#046/0611-M3- 26 -3 Subdivisi umber <br /> Construction location: North/ South/l West Side of tit m&1115 d e- <br /> (Road on which access is located) <br /> located /SIC feet from Koi KO ncv <br /> (Intersection of town/town or town/county rd) <br /> in Section 7 , Town of Pleasant Springs. <br /> CONDITIONS <br /> ATTACH A DRAWING OR MAP SHOWING ACCESS LOCATION ON THE SUBJECT PROPERTY. <br /> You must specify footage from lot lines and show all existing accesses. <br /> All access driveways to all residential, commercial, and manufacturing properties shall be no less than 24 <br /> feet in width from the town road through the entire length of the road right-of-way to the private <br /> property. <br /> All culverts must have end sections attached. [Section 11.09(7)(B) of the Municipal Code] <br /> P o e of Access Permit _4. ,Gv J'1Vrt Sot lu i y <br /> pplicant is using existing driveway. `� <br /> .Applicant is not required to provide a map. (Public Works Initials/fK ) <br /> Center of driveway from property line: feet. <br /> No drainage culvert is needed. (Public Works Initials ) <br /> Drainage culvert Size: Length: feet; diameter: inches. <br /> Parking Exception Section <br /> *Please note there is no parking on Town Roads in the Town of Pleasant Springs. Unless a parking <br /> exception is indicated below, all contractors and subcontractors are prohibited from parking.on Town <br /> Roads in accordance with Town Ordinance 202.Violators will be cited. <br /> An exception to Town Ordinance 202 regarding the prohibition of parking on Town roads is granted for <br /> this project. Any vehicles used for this project must be parked on the side of <br /> (street) ONLY and off the road as much as possible. (It is YOUR responsibility to ensure contractors and <br /> subcontractors are restricted to this side of the street. Violators WILL be cited) <br /> If this request is for an additional access: <br /> • Property size in acres: <br /> • Total road frontage on the road from which the proposed access would serve the parcel <br /> • Measurement between centerlines of the existing and proposed accesses in feet <br /> Revised 01/22/2015 <br /> X:\Word files\ROADS\Documents\access permit updated 07-2015.doc <br />