Laserfiche WebLink
TOWN OF SPRINGDALE DRIVEWAY PERMIT APPLICATION DATE: �L {{ L� _ <br /> I. CONTACT INFORMATION - To be Completed by Applicant: <br /> i <br /> Name and current address i k'' ' 4 `_-`3 <br /> of applicant <br /> t F tt } <br /> Current telephone number. to-rir o' V "',! ! - s f.:1—Mme <br /> Driveway location ...i Sl:iingdale i,, 1 t._,1 ,1 ' t . J., i.z1.t1- t ,;% V_.. t._.- i "`'.` <br /> Location: west _east south north side of <br /> Parcel number: l u { ( i , 1 ,-.. <br /> _-- -- <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 building 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 /> *********************************************************************** <br /> II. CONDITIONS - To be completed by Town Board member or its agent: <br /> idth 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 y yes. QY1l/e <br /> Drainage culvert needed: no yes Agricultural use only: A/no yes <br /> If culvert required, must meet Driveway Construction Guide standards. <br /> Other requirements: <br /> CDShall comply with town private road ordinance and driveway construction <br /> ide 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 /> Duplicate rural numbers are required for a shared driveway. <br /> 6. A blue oval marker on the address post is required for driveways longer <br /> than 1000 feet. <br /> *******************************************//*_* **'� <br /> III. APPROVAL - Date Approved By Town Board4, /, Date Issued: �f 6 <br /> The Driveway Permit is valid for one year fr-m 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 Drivewa Permit Part 2 -in-le Residen - , Duplex, Agricultural <br /> -100.00 Fee Reminder: Dane County Erosion Control Standards may apply. <br /> �u o Taint ' k-, 12 c.. <br /> &CALI-- ai'E.e 'ze--c -x za- o <br /> 4.1 - Cam`-( ae. <br /> ________ <br />