DCPZP-2009-00082 - Laserfiche WebLink

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' , .- . 44 /22,& - ae.. ,eve_,i-yz,6]/ /71,L c, 'k m 6, ll a2j/a o, r1vy,� ,a /7)1.,_thl . �, �, . . 'C) 1 TOWN OF SPRINGDALE DRIVEWAY PERMIT APPLICATION DATE: 0 - c I. CONTACT INFORMATION - To be Completed by Applicant: \ Name and current address 1—(40/!/!e--- 141. eR 4,/F u' FG- J of applicant ,A., V /v/ F-G- it i/) /it NT)7/c,,,P/) 0' -C3S7i. N Current telephone number: work (0 c S 7 7 49?tome Sc' 2 .5 ga. ,,d '� � Driveway location in Springdale: y,, �J S LA /y c r-Nij %T 0 A). R07 F, . r,-r, �.-, of---/ _.e Sec. \ Parcel number: 06'07— 6 2._ -- 9770 — D (0ti // 6 7-- � IN Contact Ed Eloranta, Town Chairman, #437-4692, to arrange a site visit. Please attach a drawing of the driveway location discussed at the site visit and return to the Town of Springdale, 2379 Town Hall Rd. , Mt. iNHoreb, WI 53572 as soon as possible after the site visit. II. CONDITIONS - To be completed by Town Board member or its agent: Zi.N.1■22 ,.„, Width of driveway: /�// fee ximum grade of 10%. '( Drainage culvert needed: )(no yes � If culvert required, must meet Driveway Construction Guide standards. JAgricultural use only: Xno yes Shared driveway agreement required: no x yes / ,f let-C1L- Other requirements: 1. Shall comply with town private road ordinance and driveway construction guide for new driveways. 2. Shall contact Town Patrolman Devin Dahlk at 437-3648 before starting construction of the driveway. 3. No Building Permit shall be issued until Driveway Permit Part 1 AND Part 2 has been issued. }- .�"�,�, / 4. P�VKAi i kLe- III. APPROVAL - Date Approved By Town Board: ' Ui Date Issued:Z) (7 t / The Driveway Permit is valid for one year from date of approval. The Driveway Permit is pending recordation of the Certified Survey Map at Dane County Register of Deeds Permit Part 1 riveway Permit Part ingle Residence Duplex $100.00 Fee 1..Remi�nder:Dane County Erosion Contro an.ards may apply.