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• <br /> zom <br /> PHONE NO. : Mar. 22 2606 12:13PM P5 <br /> • <br /> • <br /> TOWN OF SPRINGDALE DRIVEWAY PERMIT APPLICATION jam; - p/_ <br /> i. CONTACT INFORMATION -- To be CoMpleted by Applicant: <br /> Name and current addsrss• . rn p L. g rat d-zi:4, G , <br /> of applicant ��• <br /> 4 <br /> • <br /> Z i tNw0-1. PIG, 20 0 <br /> MAD (SON fl.r1t . S37/y • <br /> • <br /> Current telephone number: work O33 -9 0 9 9 .home 7-05-6 ..5d. C`,e• 2317- 2• � <br /> Driveway location in Springdale: / 'f- 7 1„! it(Le V 1 E id 1 iit i L.- • <br /> Location: west east south north side of Sea. /►�)/ / /,• <br /> wW ��{�a eS W�1� PE hi op- /l e SW/4Ni TLe- Ye&err /W / <br /> Contact Ed Eloranta, Town r7,wirman.. .#437-4692, to arrange a site visit. <br /> Please attach a drawing of the driveway location'discussed at the site <br /> visit and return to the Town of Springdale, 2379 Town •Hall Rd. , Mt. <br /> Horeb, WI 53572 as soon as possible after the site visit. <br /> ,k7t** ear********,t*********kip********* ****Vt+t+►ir,kir•k******* <br /> II. CONDITIONS - To be completed b Town Board member or its agent: <br /> Ia driVir.•ycjL 'J ( •.. <br /> Width of driveway: iyihtfc.feet Maximum grade of 9.0$. <br /> Drainage culvert needed: no yes ^ (4. ) )teir43 p��+et, t-e. 3 <br /> Length of culvert feet with apron endwalls.' Diameter inches <br /> Agricultural use only: / eo yes <br /> Shared driveway agreement required: xno yes <br /> Other regs•i,�+tnts:. <br /> • 1. Shall (locmp3.y with town Private road ordinance and driveway <br /> construction guide for new driveways. <br /> i. Shall contact Town Patrolman-Dan Chancellor at 437-3648 before <br /> • <br /> . Starting construction of the driveway. • <br /> . 3. No Building Permit shall be issued until. the driveway permit is <br /> granted. <br /> 4. <br /> • <br /> ••********x'A-•k**************************w*7R***• •* ***********7*w****** ***/ <br /> ' III. APoOVAL - To be issued by Town Board: 41 ,C , Date: y /010 4 <br /> The Driveway Permit is valid for one year from date of approval.— , <br /> V�c.a4/02/�/G <br /> $35.00 Fee Reminder:Dane County Erosion Control Standards may apply. 461114 <br />