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• <br /> Dr!itevi f2; . .z. <br /> A :)-f_ <br /> TOWN OF SPRINGDALE DRIVEWAY• PERMIT PLICAT1UN DATE: <br /> I. CONTACT INFORMATION - To be Completed by Applicant: <br /> Name and current address <br /> M jl.ssa �0..�►O! re . <br /> of applicant <br /> • A9(1 (,v 1'4: ,/ka-5'd Lant°f , , 1,c1 <br /> • <br /> 6-3'7--// <br /> Current telephone number: work home <br /> Driveway location in Springdale: Cj�/4 U <br /> r�( <br /> Location: west Xeast south north side of &P aJ Secs. <br /> Parcel number: 06a 7 -,a3/-�c1tL Q ` /'1-/ Ji S <br /> 1. Contact Ed Eloranta, Town Chairman, #437-4692, to arrange a site visit. <br /> 2. Please bring to the site visit copies of any and all deed restrictions, <br /> sketch of Town-approved buildng envelopes, property agreements, etc. which <br /> could impact the location of the driveway and buildings. <br /> 3. 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. Horeb, WI <br /> • 53572 as soon as possible after the site visit. <br /> II. CONDITIONS - To be completed by Town Board member or its agent: <br /> dth of single-use driveway: 12' driving surface, 14' road be.. <br /> Width of shared driveway: 16' driving surface, 18' road bed. <br /> Maximum grade. of 10%. Shared driveway agreement required: no yes all-4 <br /> Drainage culvert needed: no yes Agricultural use only: }( no yes <br /> If culvert required, must meet Driveway Construction Guide standards. <br /> Other requirements: <br /> Shall comply with town private road ordinance and driveway construction <br /> uide for new driveways. <br /> Shall contact Town Patrolman Devin Dahlk, at 437-3648, before starting <br /> construction of the driveway. <br /> 3. No Town Building Permit or Dane County Zoning Permit shall be issued until <br /> Driveway Permit Part 1 AND Part 2 have been issued. <br /> 4. This approval is subject to conformance with the Town-approved building <br /> envelope(s) on file in the Town of Springdale Town Hall. <br /> ********************************************** ****************** ** ** <br /> III. APPROVAL - Date Approved By Town Board:%�f�s Date Issued: ?.t/ /} , <br /> I./The Driveway Permit is valid for one year from date of approval. <br /> The Driveway Permit is pending recordation of the Certified Survey Map at <br /> Dane County Register of Deeds <br /> Permit Part 1, �ivewav Permit Part Sin le Residence Duplex, Agricultural <br /> • $100.00 Fee Reminder: Dane County Erosion Contro Standards may apply. <br /> 8 <br /> 6 Nf <br /> • <br />