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• <br /> . . <br /> TOWN OF BLACK EARTH <br /> P 0 Box 426 <br /> Black Earth WI 53515 <br /> Application for Driveway <br /> October 6,2009 <br /> Driveway Permit Fee$250.00 <br /> Information required for all new and changed driveways. Please give 10 copies of all <br /> material requested to the Clerk. <br /> APPLICANT <br /> S‘Af■ki.) <br /> NAME C k \\\ ro (N( .(I <br /> ADDRESS 31zs„ CR 901 tr- 10.,.) s't ouG.'4.1-c)t,) <br /> PHONE <br /> If not the owner,state authority to complete this application. <br /> OWNER(if different than applicant) <br /> NAME II1P%-1-1-- <br /> ADDRESS 01' MAL VS S r-s15. <br /> PHONE E,Cig - '74 2 57- <br /> LOCATION AND DESCRIPTION OF PARCEL WHERE DRIVEWAY IS TO BE <br /> PLACED. <br /> Current Zoning 2. <br /> Parcel Number 00':; - 0 <br /> Current Parcel Size I S Acres <br /> Legal Description1.01* I c,„S k ter? c S 75.," * -1ft 112.,007 S • <br /> wr tit.4 NC. IA( S oo ksts So(Yr -ro #,fr <br /> Soil Type: A ci,R ftrr zJ coc. 4:334/P/5' <br /> 400 Z <br /> Cwietnt bse: Residential/Cropland/Other(Explain) P441101 r LA 140 9 ckft <br /> 1 <br />