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FEB/25/2009/WED 11 : 18 AM john bird accounting FAX No, 16087673726 P, 002 <br /> Town of Black Earth <br /> Driveway Application <br /> 767-2447 <br /> Date p21/d5/69 <br /> /c -e,, <br /> Name <br /> Address, <br /> Phone Number 6, O 8- 8 L( '7 - 3 a L b .- <br /> Please submit a drawing of your planned driveway. We will set <br /> up a time to do an inspection of the site. <br /> The above driveway has been approved for construction. <br /> Date 5� P <br /> Signature (emu <br /> Contact again for final approval of driveway before starting <br /> construction on buildings. <br /> This permit needs to go to the building inspector to get a building <br /> permit. <br /> TO; Building Inspector Town of Black Earth <br /> The above driveway has had final approval. <br /> Date <br /> Signature <br />