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r . FROh : PHONE NO. : Apr. 11 2016 05:40PM P2 <br /> • -//- /-� - . ‘e Le <br /> ,131 -/ e A)4/ A'E 12? /7-- -117.27- /11- , <br /> TOWN or SPRINGDALE DRIVEWAY PERMIT APPLICATION DATE: Li-Ly-/s <br /> I. CONTACT INFORMATION - To be Completed by Applicant:/ I / <br /> Name and current address // ,lip 4 �.Jen/2�, L. I, i <br /> of applicant <br /> re m •ve-dvi 5 Q.c.,r ,/, Gory <br /> Current telephone number: wers'F_ 2C5- ('home f()8'• 9 3)c a SS <br /> mil? G moo r Ik1/ / / <br /> Driveway location in Spriagdal6- <br /> Location: west_ )(east south north side of /BUY(/j//Sec. )7 <br /> Parcel number: Les` al. CS` t /0'// i <br /> 1. Contact Ed Eloranta, Town Chairman, #437-4692, to arrange a site visit. <br /> 2. Please bring to the site visit copies of any and all deed restrictions, <br /> sketch of Town-approved buildeing envelopes, property agreements, etc- which <br /> could impact the location of the driveway and buildings. <br /> 3. 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. Horeb, WI <br /> 53572 as soon as possible after the site visit. <br /> ************t*******************t************t************************* <br /> II. CONDITIONS - To be completed by Town Board member or its agent: <br /> Width of single-use driveway: 12' driving surface, 14' road bed_ <br /> • <br /> Width of shared driveway: 16' driving surface, 16' road bed. <br /> Maximum grade of 1045. Shared driveway agreement required: no Xyes <br /> AE Drainage culvert needed: no yes Agricultural use only: )(no yes <br /> If culvert required, must meet Driveway Construction Guide standards. <br /> ther requirements: <br /> 1. Shall comply.with town private road ordinance and driveway construction <br /> ide for new driveways. <br /> • <br /> on Shall contact Town Patrolman Devin Dahlk, at 437-3646, before starting <br /> struction of the driveway. <br /> 3_ No Town Building Permit or Dane County Zoning Permit shall be issued until <br /> Driveway Permit Part 1 AND Part 2 have been issued. <br /> • 4. Thin approval is subject to conformance with the Town-approved building <br /> envelope(a) on file in the Town of Springdale Town Hall. • <br /> *********************t*t*t*****************t�S * ********,t**,t***** **** ,��/C��� <br /> III. APPROVAL - Date Approved By Town Board //� Date Issued: � � E�4 I '` / <br /> The Driveway Permit is valid for one year from date of approval_ i�iZULtte filLriige' <br /> The Driveway Permit is pending recordation of the Certified Survey Map ;J-J1‹.. <br /> Dane County Register of Deeds <br /> Permit Part 1, Driveway Permit Part 2, Single Residence, Duplex, Agricultural <br /> $100.00 1Fon hl Reminder: Dane County Erosion Control Standards may apply. <br /> 4- 50,j e.<i eiv'q Pei e.dipz4 n2S GU,cer �3 ,oii 5' /4/-G/y f) da ie q/9 ZO/5 <br /> al er6s,`o,, cenr4/ F/A► /� ,�- 54-0-47` C <br /> t'l(/' o,z seer, cm7C0/ Se20./(4-- 0 3x51 . <br />