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V31 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 /> Name Co.Trunk Hwy in which access is requested: <br /> Kenneth E Zweifel J <br /> Street Address Town,Village,City Section <br /> 3059 N Station St Town of Springdale 2 <br /> City State Zip <br /> Verona WI 53593 <br /> Home Phone Work Phone Fax Number E-Mail Address <br /> (608)845-5345 (608)576-8833 zweife11000tds.net <br /> Existing Access? If yes,how modified? <br /> Yes ❑ Relocated [] Removed 0 Change of Use ❑ Culvert Replace ❑ Asphalt Paving <br /> Describe Use: _ <br /> Single Family with joint access to cell tower <br /> North/South/East/West Side Nearest Cross Road Distance&Direction of nearest cross rd Existing Zoning: Meets Intended Use? <br /> West North Station Roa 350 feet north A-1 0 Yes ❑ No <br /> Type of Permit Requested: <br /> ❑ $110 Temporary Controlled Access ❑ $75 Temporary Non-Controlled Access <br /> ❑ $110 Agricultural Controlled Access ❑ $75 Agricultural Non-Controlled Access <br /> ❑ $110 Residential(single family)Controlled Access © $75 Residential(single family)Non-Controlled Access <br /> • <br /> ❑ $220 Residential,Joint Access>1 parcel ❑ $220 Commercial,<100 ADT** <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 5/8/2015 <br /> PERMIT APPROVAL BY DANE COUNTY COUNTY PERMIT NO. 15A013 <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. Driveway to access a single family residence <br /> along with joint limited use access to the cell tower. <br /> The access must be graded to drain away from the edge of road for a minimim of 8'and provide a level area at the roadway.. <br /> Existing 12"diameter culvert to be extended 8 feet south and the endwall is to be reinstalled. <br /> Check#4041 <br /> By 412116, . 6/12/2015 <br /> Si re of ne Cou k '-.r- e Date <br /> eggar Petersen Hig ay Engineer 608-266-9081 <br /> Name and Title Phone <br /> Page 1 of 2 <br />