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t;r-y,� Dane County Department of Public Works, Highway and Transportation <br /> _' .4 ACCESS PERMIT <br /> This permit Is required and shall be issued in accordance with the provisions of Section 83.027 of the Wisconsin Statutes and Chapter 79 of the Dane <br /> County Code of Ordinances. <br /> i <br /> Name Co.Trunk Hwy in which access is requested: <br /> Dennis Midthun J 1 <br /> Street Address Town,Village,City Section <br /> 13845 W Bullard Rd Town of Springdale 23 <br /> City State Zip <br /> Evansville WI 53536 1 <br /> Home Phone Work Phone Fax Number E-Mail Address <br /> (608)444-4797 midthun@hotmall.com s <br /> Existing Access? If yes,how modified? <br /> No ❑ Relocated ❑ Removed ❑ Change of Use ❑ Culvert Replace ❑ Asphalt Paving <br /> Describe Use: <br /> Joint Drivewy 1 lot and farm i <br /> North/South/East/West Side Nearest Cross Road Distance&Direction of nearest cross rd Existing Zoning: Meets Intended Use? F <br /> East CTH G 3,795 feet south a-1 Non Exc ® Yes ED No 1 <br /> Type of Permit Requested: g <br /> ❑ $110 Temporary Controlled Access ❑ $75 Temporary Non-Controlled Access <br /> . <br /> Q $110 Agricultural Controlled Access ❑ $75 Agricultural Non-Controlled Access t <br /> E <br /> ❑ $110 Residential(single family)Controlled Access ❑ $75 Residential(single family)Non-Controlled Access <br /> 0 $220 Residential,Joint Access>1 parcel ❑ $220 Commercial,<100 ADT"* <br /> t <br /> ❑ $1,100 Private/Public,New/Existing,Street or Road ❑ $550 Commercial,>1000 and<1,000 ADT <br /> ❑ $45 Miscellaneous ❑ $1,100 Commercial,>1,000 ADT <br /> **ADT denotes Average Daily Traffic. Data substantiating ADT for access or road Intersections may be required <br /> Fees paid in full on 2113/2015 <br /> PERMIT APPROVAL BY DANE COUNTY COUNTY PERMIT NO 15A003 <br /> The application submitted is hereby approved and this permit is issued by Dane County subject to full compliance by the Applicant with all provisions <br /> and conditions stated herein and on the reverse side hereof and all attachments hereto. <br /> Other Special Provisions: <br /> This permit is contingent on all other Local,State and/or County Agency permits,zoning and approvals and applicant must <br /> comply with all federal,state and local laws,ordinances and regulations. Note the driveway access point has been revised <br /> so that the driveway distance Is now 3,795'and not 4,135'. (April 14,2015. GAP) i <br /> The access must be graded to drain away from the edge of road for a minimim of 8'and will require a new 18"diameter f' <br /> squash pipe 30 feet long with approved metal apron endwalls. <br /> Check#5090 <br /> 3/1212015 <br /> 1' <br /> By <br /> Sig =■- 'of Dane Coun -'pre••: . e Date <br /> = : .ar Petersen Highway Engineer 608-266-9081 <br /> Name and Title Phone <br /> i <br /> 1 <br /> Page 1 of 2 <br /> i <br /> t <br /> f <br />