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j a v.., TOWN OF DEERFIELD <br /> 1^)/ C S DRIVEWAY PERMIT <br /> fn (For access from private property to a town road) <br /> A . <br /> I I <br /> Name and address <br /> of applicant �► Nism■.LC- c) <br /> � tfL' ktJNCy 1217 <br /> ayirf■ Ge 6 - nJC.) wi 53S2f <br /> Phone 10,38 2-0G — i y 4 <br /> Location: w side of =, -•'60 .c. . /-/' <br /> located ?' O 0 mile'feei from /4(.7 (A) <br /> in Section , Town of d pew <br /> CONDITIONS ,. <br /> Width of driveway: feet. <br /> .,4 <br /> Center of driveway from property line: feet. <br /> [ ] No drainage culvert needed. <br /> Drainage culvert needed Size: Length 40 feet <br /> Diameter 1 a inches. <br /> Other requirements: <br /> 1.7 ro.b, t, I Li A I <br /> : /, - � �-.�,c.�,- � Date -07Y- /e, <br /> Permit granted. <br /> Town of: /1. r_ -rte <br /> [White copy-Town; Yellow copy-applicant; Pink copy-Dane County Zoning] <br /> I � <br />