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Dv;d-6.771) 4.,(.74- Pet-L7V $ i.fa.•-tr 2--- <br /> TOWN OF SPRINGDALE DRIVEWAY PERMIT APPLICATION DATE: 7/62/4` <br /> I. CONTACT INFORMATION - To be Completed by Applicant: <br /> Name and current address 4!077 '`'t4 -5 eA y /`JQItn <br /> of applicant h,23 S" Op mt./'!]S/€ 7Q,1 <br /> Or-eSo 4, G4T ,-3S.?-S' <br /> Current telephone number: work 1,0/. .2-W .D 3 q3 home Cell: d d. 3 33 .. .,c8 <br /> Driveway location in Springdale: / /"(C.SSf,esch i'Y1/d 24 .I3- <br /> Location: west J( east south )( north side of Ce�4/$ec. <br /> Parcel m,mber: enoU?- a7-3-- 1:20 -5 — <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 Hall Rd. , Mt. <br /> Horeb, WI 53572 as soon as possible after the site visit. <br /> II. CONDITIONS - To be completed by Town Board member or its agent: <br /> 3rr ar/ mac tdi et !t f" S/ /t-°'S.*ltd <br /> Width of driveway: het Maximum grade of 10%. use . <br /> Drainage culvert needed: no yes Comirc J 'isi a..Ge_i/ve&-,c. Gc/9G(„C✓yi <br /> /teer1g- ue. demo s bfi4/op. <br /> If culvert required, must meet Driveway <br /> TT/tee,' <br /> struc on Gui e standards. <br /> Agricultural use only: /` no yes <br /> Shared driveway agreement required: no X yes ell/ /C /i1 .4 <br /> ether requirements: <br /> comply with town private road ordinance and driveway JaN g �gtiyt <br /> construction guide for new driveways. Vt\D <br /> CE:iShall contact Town Patrolman Dan Chancellor at 437-3648 before`_.4 44`* <br /> starting construction of the driveway. p�.GtL```ii" <br /> Of No Building Permit shall be issued until Driveway Permit Part 1 AND <br /> Part 2 has been issued. .Q)/U6- <br /> 4. <br /> *********************************************************************** <br /> III. APPROVAL - Date Approved By Town Board:56M Date Issued: 07276S' <br /> The Driveway Permit is valid for one year from date of approval. <br /> The Driveway Permit is pending recordation of the Certified Survey Map <br /> at Dane County Register of Deeds <br /> emit Part 1 Iri_eitz y Permit P. Single Residen5p Duplex <br /> $100. Fee i/ Reminder:Dane County Erosion Control Standards may <br /> apply. <br />