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CHRISTIANA TOWNSHIP <br /> DRIVEWAY / ACCESS PERMIT <br /> APPLICANT PERMIT # 80 <br /> Name: Gary Rattmann/ Da ry Flv 5c' Phone: 7:2.- Si, <br /> Address: 2599 Highland Rd. <br /> Cambridge, WI 53523 <br /> Parcel # <br /> LOCATION: West side of Clearview Rd, approximately .4 miles south of Koshkpnong <br /> Rd. in the SE1/4 of the NE1/4 of Section 22. <br /> REQUIREMENTS: <br /> Owner shall abide by Ordinance# 200. <br /> There is no need for a culvert at this location. <br /> VARIANCES: <br /> None <br /> CONDITIONS: <br /> This permit is void one year after the date it is issued. If construction is not <br /> completed at that time, the applicant is responsible for obtaining a new permit. <br /> It is further understood and agreed that the applicant shall indemnify and hold the <br /> Township harmless according to the conditions stated on the reverse side, during any and <br /> all work activities by those other than Township personnel. <br /> The To of Christiana granted this permit at a meeting held on: <br /> • 20 <br /> P,-' �� <br /> Town Board I��t er Town I erk <br /> „e /, <br /> i, <br />