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FROM <br /> PHOIE NO. Mar. 22 2006 12:13PM P5 <br /> TOWN OF SPRINGDALE DRIVEWAY PERMIT APPLICATION DATE; I* - t-�7/ <br /> I. CONTACT INFORMATION - To be Completed by Applicant: �° <br /> Name and current address TE e ` S- S•f ILGt�: Z t t� <br /> of applicant x. <br /> 4 Z Sect t-e <br /> P`7 F% o i s CO4 l kAl r`, 5 3 7/1 <br /> Current telephone number: work O S -9_0 9 ct home R.). 7--d 5'6 5' e,e.€ 2 3 V 2�5 <br /> Driveway location in Springdale: 1 4 /4 (We i f j j' t <br /> Locations west east south "' north side of Sec. ,y2 / 6A/ /7 <br /> N40 glop tt e,5bi /j , NE It'oe. tie Swo J/�rw rt, %y e AG" ,yam j / 1 <br /> Contact Ed Eloranta, Town Chairman, .#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 Mall Itd. , Mt. <br /> Horeb, WI 53572 as soon as possible after the site visit. <br /> *******************a**************************w***************** ** <br /> II. CONDITIONS To be completed b Town Roatd member or its agent: <br /> Width of driveway: /cat. � Maximum grade of 10%. <br /> Drainage culvert needed: no des C V Y4 zte fyk.,, <br /> Length of culvert feet with apron endwalls.' Diameter inches <br /> Agricultural use only: l Rio yes <br /> Shared driveway agreement required: )(no yea <br /> Other requi..rntss:. <br /> 1. Shall comply with town _private road ordinance and driveway <br /> construction guide for new driveways. <br /> 2. Shall contact Town Patrolman Dan Chancellor at 437-3640 before <br /> starting construction of the driveway. <br /> 3. No Building Permit shall be issued until the driveway permit is <br /> granted. <br /> 4. <br /> ******'*' * ********************************** * ,�*�******************,r*xx <br /> ' III. APPROVAL -- To be issued by Town Board: �{dt Gi,t1 Date: /,0 G74 <br /> VA, <br /> The Driveway Permit is valid for one year from date of proval. <br /> **********************,rr.*****, *****************************:r*********Ir*• <br /> $35.00 Fee V Remiudor:Dane county Erosion Control Standards may apply. <br />