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TOWN OF ROXBURY DRIVE PERMIT APPLICATION <br /> SEE DRIVEWAY ORDINANCE 2001-A <br /> APPLICANT <br /> Name V220 i e. (,/ <br /> Address - U _.c;i(i 72)-( c v -14 i . t`-() r l .((;:i L ;41 , _:177 j <br /> Telephone Day 60 (+1 / Business lvc `1 t j4 f 6 7 Evening beam"_ 3 52 9 <br /> LOCATION <br /> 1ev r�y t 6(I Lc, StFeetrRefteirifiglrararetc.arpV)of L..i/)5 c`ttt Road located <br /> (I W)from Road in the ``E quarter of the < ( / quarter in Section f . In the Town of <br /> Roxbury. Plat . CSM# 7-3 36- . Lt4 kr t) <br /> REQUIREMENTS <br /> Centerline of driveway to be feet (NSEW) of the(NSEW) from property line. Surface width of <br /> driveway to be a minimum of 12 feet, with a foot sub grade. <br /> Culvert: Length '0 feet . Diameter i( inches, with Wisconsin DOT end walls. <br /> No culvert required . Engineer's plan required Gres.) (No) <br /> CONDITIONS <br /> You are required to contact the Town Engineer(MEI) at 608-643-5329 a least two working days before <br /> starting construction. Refer to Roxbury Permit Ordinance 2001-A for constructions specifications. Contact <br /> MEI if you have specific driveway construction questions. Upon completion, notify the Town Engineer within <br /> 30 days to schedule a driveway inspection. This permit expires one year after the date approved by Town Board. <br /> If construction is not completed within one year of issue,the applicant must apply for a renewal permit. <br /> APPLICATION FEE,PERFORMANCE BOND &ENGINEERING/INSPECTION COSTS <br /> The application fee to construct or relocate a driveway is $250.00,payable to the Town of Roxbury at time of <br /> approval. A performance bond of at least$2.500.00 for the first two hundred fifty feet. Plus ten dollars per foot <br /> for driveways over two hundred fifty feet. Is also due in form of check made payable to the Town of Roxbury. <br /> The bond amount will be returned after the Town Engineer inspects &approves the finished driveway and all <br /> Town Engineering&inspections costs are fully reimbursed by applicant <br />