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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/ J j/;9.c P6 <br /> ADDRESS OF APPLICANT: 5 '20 CA I D , <br /> Wa-1-Q r I ® Q , - 5 3 5 Cr Li <br /> PHONE NUMBER: of---___ ,5k---—` 3o--c_ <br /> ‘, e -- 3 J-O -- 1 6 1 6 <br /> LOCATION OF PROPOSED ACCESS: <br /> North, South, Easj Vest side of Spec- 'r /ft fr d <br /> (circle one) <br /> Located miles/feet from <br /> In Section 7Z- , Town of Sun Prairie /2,0 71. ‘10 <br /> PERMIT CONDITIONS <br /> (To be completed by Town Personnel) <br /> Width of driveway ` feet. 114 i h) <br /> Center of driveway from property line: feet. <br /> [ ] No drainage culvert needed. <br /> Drainage culvert needed. Size: Length feet <br /> cJ/52sit 90 <br /> Diameter / inches 5--f <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 /> ' i/ /V- ia _ <br /> Permit granted: / , �(',�ir Date 7''.-''-.:J) a' <br /> -'Town Offi al/D•sig ee Signature <br /> Notice/tspdriveapp.doc <br />