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Town of Sun Prairie <br /> Driveway Permit Application <br /> (Access from privat roperty to a t oad) <br /> NAME OF APPLICANT: D eS r'; <br /> `� C � (Rb _ _ <br /> ADDRESS OF APPLICANT: b �� <br /> 41-1-er 1 D a , U.V—. 33 5 cJ L <br /> PHONE NUMBER: 4f-_ ,5O 30"S 4____ <br /> , e -- 3 , O -- 1616 <br /> LOCATION OF PROPOSED ACCESS: <br /> North, South, Ea.5)Vest side of Spec- �r /!/� (._ <br /> (circle one <br /> Located miles/feet from / <br /> In Section 7Z- , Town of Sun Prairie /...0 7- 40 v <br /> • , <br /> PERMIT CONDITIONS <br /> (To be completed by Town Personnel) <br /> Width of driveway feet. nil I h) <br /> Center of driveway from property line: feet. <br /> [ ] No drainage culvert needed. • <br /> Drainage culvert needed. Size: Length a , feet <br /> c1/9-CA P <br /> Diameter /,.? inches S? <br /> All culverts are to have ends <br /> Other Requirements: <br /> All construction equipment must use this entrance to access lot. All culverts must <br /> have ends (wings). Culverts are to be completely installed prior to final inspection and <br /> approval by highway perso el. <br /> / / , <br /> 774mw <br /> Permit granted: /AWAY, Date 7 P <br /> 'Town Offi al/D•sig ee Signature <br /> Notice/tspdriveapp.doc <br />