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TOWN OF COTTAGE GROVE <br /> irt <br /> ,/ DRIVEWAY PERMIT <br /> (For access from private property to a town road) <br /> Name and address <br /> of applicant <br /> i <br /> Phone 'T' ) i _ i c --, <br /> Location: side of ..,2-,/<,. .. ;, ■r <; ,) • , 1 <br /> s <br /> located miles/feet from ¶ 4 t s,y y' <br /> in Section , Town of f(',., i/ y4 ( c^,., , L <br /> CONDITIONS <br /> Width of driveway: feet. <br /> Center of driveway from property line: feet. <br /> [ ] No drainage culvert needed. <br /> ts,4 Drainage culvert needed Size: Length feet <br /> Diameter inches. <br /> Other requ irements: <br /> d <br /> Permit granted: Date <br /> Town of: <br /> [White copy-Town; Yellow copy-applicant; Pink copy-Dane County Zoning] <br />