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.6V-It Dane County Department of Public Works, Highway and Transportation <br /> 1,k ACCESS PERMIT <br /> This permit is required and shall be issued in accordance with the provisions of Section 83.027 of the Wisconsin Statutes and Chapter 79 of the Dane <br /> County Code of Ordinances. <br /> Name <br /> ` Co.Trunk Hwy in which access is requested: <br /> Dennis Midthun J <br /> Street Address Town,Village,City Section <br /> 13845 W Bullard Rd Town of Springdale 23 <br /> City State Zip <br /> Evansville WI 53536 <br /> Home Phone Work Phone Fax Number E-Mail Address <br /> (608)444-4797 midthun @hotmall.com <br /> Existing Access? If yes,how modified? <br /> No ❑ Relocated n Removed ❑ Change of Use ❑ Culvert Replace ❑ Asphalt Paving <br /> Describe Use: <br /> Joint driveway for 3 lots <br /> NorthfSouth/EaSUWest Side Nearest Cross Road Distance&Direction of nearest cross rd Existing Zoning: Meets Intended Use? <br /> East County Road G 3,400 feet south a-1 Non Exc © Yes ® No <br /> Type of Permit Requested: <br /> ❑ $110 Temporary Controlled Access ❑ $75 Temporary Non-Controlled Access <br /> ❑ $110 Agricultural Controlled Access ❑ $75 Agricultural Non-Controlled Access <br /> ❑ $110 Residential(single family)Controlled Access ❑ $75 Residential(single family)Non-Controlled Access <br /> Cpl $220 Residential,Joint Access>1 parcel U $220 Commercial,<100 ADT** <br /> ❑ $1,100 Private/Public,New/Existing,Street or Road ❑ $550 Commercial,>1000 and<1,000 ADT <br /> ❑ $45 Miscellaneous ❑ $1,100 Commercial,>1,000 ADT <br /> "ADT denotes Average Daily Traffic. Data substantiating ADT for access or road intersections may be required. <br /> Fees paid in full on 2/13/2015 <br /> PERMIT APPROVAL BY DANE COUNTY COUNTY PERMIT NO. 15A004 <br /> The application submitted is hereby approved and this permit is issued by Dane County subject to full compliance by the Applicant with all provisions <br /> and conditions stated herein and on the reverse side hereof and all attachments hereto. <br /> Other Special Provisions: <br /> This permit is contingent on all other Local,State and/or County Agency permits,zoning and approvals and applicant must <br /> comply with all federal,state and local laws,ordinances and regulations. Note the driveway access point has been revised <br /> so that the driveway distance is now 3,400'and not 3,305'. (April 14,2015. GAP) <br /> The access must be graded to drain away from the edge of road for a minimim of 8'and will require a new 18"diameter <br /> squash pipe 30 feet long with approved metal apron endwalls. <br /> Check#5090 <br /> 3/12/2015 <br /> By ...._....01/ ro.......... <br /> :':• ur. Dane Coun a F".—.Oresentativ, Date <br /> G`reggar Petersen Highway,-ngineer 608-266-9081 <br /> Name and Title Phone <br /> Page 1 of 2 <br /> • <br /> LEGEND sulz,V)r�"D FOR: 1 NN iii i ATh tfiLi 444 -47q7 <br /> 4 3! NhU1LL� L <br /> Scale: I inch- �1/V ft. DESCRIP ON-LOCATIO : r � �' <br /> r iron stake found i1 k-t 4 P 4'T , A��_—- -♦ }Aj f' /' <br /> O {„n.w iron pipe sf 4/24 -�r !J/11-p .-"'_e. <br /> min.wt:={,13tt/In 1't. APPROVED FOR RECORDING PER <br /> SURVEYED _ action of <br /> DRAWN _, — REGISTER OF DEEDS CERTIFICATE <br /> FIELD B O __ Received for recording this day of <br /> FIELD DOOk� __ y <br /> DATE _ _ _ , at ._o'clock ,m. <br /> TAPE/FILE �_ _—' and recorded in Volume __ of Certified Survey <br /> Maps of Dane County on Page <br /> Register of Deeds <br /> OFFICE MAP NO.___ DOCUMENT# <br /> CERTIFIED SURVEY MAP# Vol. Page <br />