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. <br /> TOWN OF SPRINGDALE DRIVEWAY PERMIT APPLICATION DATE: ij,' a//7 <br /> I. CONTACT INFORMATION - To be Completed by Applicant: <br /> Name and current address B tGCl7 61/ S • <br /> of applicant <br /> 0.2, 41 C V/ h/i 4.096,Abe?) ai7c-'3 0?- <br /> Current telephone number: work hde 6-7'4/i 601/9 e/? / /236 ' - <br /> Driveway location in Springdale: ,/.1 K.:/ wr./9 ,'.. e9, <br /> Location: west_z_teast south north side of TLy,/,14 .//Sec. S... <br /> Parcel number: 06,6?- ‘IS 3 9C-93--- Go f //al(/V <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 building 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 /> ***** ***************,+************************************************* <br /> II. CONDITIONS - To be completed by Town Board member or its agent: <br /> • <br /> VWidth of single-use driveway: 12' driving surface, 14' road bed. <br /> JWidth of shared driveway: 16' driving surface, 18' road bed. 4i, <br /> • <br /> Maximum grade of 105. Shared driveway agreement required: no /` yes Drainage culvert needed: no yes Agricultural use only: X no yes <br /> If culvert required, must meet Driveway Construction Guide standards. <br /> O..-r requirements: <br /> hall comply with town private road ordinance and driveway construction <br /> .uide for new driveways. <br /> r <br /> '> <br /> 2. Shall contact Town Patrolman Devin Dahlk, at 437-3648, before starting <br /> nstruction 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 /> This approval is subject to conformance with the Town-approved building <br /> envelope(s) on file in the Town of Springdale Town Hall. <br /> *********************+*********************** ******************* ***** - <br /> ' III. APPROVAL - Date Approved By Town Board. / q Date Issued: ..;,0/ '/v- YeGs zZ 6 4.1/2.Z4 <br /> The Driveway Permit is valid for one year from date of approval.tf& V76-r 7W --N!1/5" <br /> I an (�2�:1 - 1.0-( <br /> The Driveway Permit is pending:recordation of the Certified Su y p at <br /> Dane County Register of Deeds Fyn})' 7 4' /,./. ;� A <br /> ermit Part 1 - Driveway permit Part 2 Si Residence)Duplex, Agriculture CG <br /> $100.00 Fee Reminder: Dane County Erosion Control Standards may apply. <br /> /t ct- ,-Cr ct i.,4_4(t we. ,.e�-7 i`'z'2/L -2/ 1.0/3"071 3i 9 A' ,...9e. tv� <br /> c C c, C. /&C / , 11 3A/2e/v. �L�i^H/, ire 22 ��'-s-e"i <br /> i ,./2r�I` i`7)"' 417 4 4/ Cu:r / i — Lie .1/ tpCAC AZa-e-; <br /> 1 •� <br />