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TOWN OF DEERFIELD <br /> DRIVEWAY PERMIT <br /> (For access from private property to a town road) <br /> Name and address ,.J <br /> of applicant ;.'`-�C -7 <br /> Phone /c.. c - ' - c.y!� C <br /> r/_ 'L <br /> Location: side of < '.1 <br /> located miles/feet from <br /> in Section , Town of <br /> CONDITIONS <br /> Width of driveway: feet. <br /> Center of driveway from property line: feet. <br /> [ ] No drainage culvert needed. <br /> C ] Drainage culvert needed Size: Length feet <br /> Diameter inches. <br /> Other requirements: <br /> Permit granted: Date <br /> Town of: c r 1,a(,-r <br /> [White copy-Town; Yellow copy-applicant; Pink copy-Dane County Zoning] <br />