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0e/4/6- 4,04/ ti2/ t / / t '4)C., TOWN OF SPRINGDALE DRIVEWAY PERMIT APPLICATION DATE: _6. - • I. CONTACT INFORMATION - To be Completed by Applicant: Name and current addres _ j AN--1.; 1`/L I 0/1./ SJ .C} 2)t 1 4 of applicant Current telephone number: wori (4(/i141 J'T 7 home Driveway location in Springdale: AV`f Location:_west ' east south north side of Sec. J 3 _ '' Jo13)640 2 - 3�I-l 1-i0_"� Parcel numbe �Q 7�� ' � X7)4 T 10 b // a�7 -a 3L/ Contact Ed Eloranta, Town Chairman, #437-4692, t arran /a s"i' e'visit. 2. Please bring to the site visit copies of any and all deed restrictions, sketch of Town-approved building envelopes, property agreements, etc. which could impact the location of the driveway and buildings. 3. 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. Horeb, WI 53572 as soon as possible after the site visit. *********************************************************************** II. CONDITIONS - To be completed by Town Board member or its agent: ------°, Width of single-use driveway: 12' driving surface, 14' road bed. ___._.. Width of shared driveway: 16' driving surface, 18' road bed. / , Maximum grade of 10%. Shared driveway agreement required: no X yes ei� �'J/e, Drainage culvert needed: no yes Agricultural use only: X no��es 1—.0 VI'1C ' / 4)0 v'eVJ e�,'�yksyyu G- L , s iioet`t.G&J If culvert required, mast meet Driveway Construction Guide standards. Other requirements: C/.}Shall comply with town private road ordinance and driveway construction guide for new driveways. (7Shall contact Town Patrolman Devin Dahlk, at 437-3648, before starting construction of the driveway. C 33. o Town Building Permit or Dane County Zoning Permit shall be issued until iveway Permit Part 1 AND Part 2 has been issued. 00 LO, ra.z- 9..e7'"- 4. This approval is subject to conformance with the Town-approved building I envelope(s) on file in the Town of Springdale Town Hall.y)0 bu.7 ! 1 i,, en Jy(.. C6)1 e- ********************************************* * ****************/*,****** III. APPROVAL - Date Approved By Town Board:1 /; Date Issued:j////., kG%1 lame ez'gyp/ y The Driveway Permit is valid for one year from date of approval. 1 y)t-� ,ee kwfp The Driveway Permit is pending recordation of the Certified Survey Map at Danee County Register of Deeds Pe t Part .) Driveway Permit Part 2 ,le Residenc > Duplex $100.00 Fee ,.Reminder: Dane County Erosion Control Standards may apply. ti ‘9 4_ c,v 0 v noL ),.. r 0 C. kilcv-,/4)ou.,---t -- '''' /5 4-66)/ A fe rol e ifee ]he'kw-1 Q.. ,'Yo-A- 6—/. - 3 K 6 l