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TOWN OF SPRINGDALE DRIVEWAY PERMIT APPLICATION DATE: 40 /`� <br /> I. CONTACT INFORMATION - To be Completed by Applicant: / <br /> Name and current address S /rr- .C..0-4 <br /> of applicant <br /> 1403 6W46-5.5 ?7L. 114(404.412W,,Lai 535t`z_. <br /> Current telephone number: work(p O8-8Z7.674,7 home 4,0$ 3sT-/•Z0 S <br /> Driveway location in Springdale: 7 -6JI $/g?p - O S04441-5�OE <br /> Location:_west east >, south north side ofC...77 iesc. d/ <br /> Parcel number: 6667-O/i- 8'87a -p <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 /> Width of single-use driveway: 12' driving surface, 14' road bed. <br /> Width of shared driveway: 16' driving surface, 18' road bed. <br /> Maximum grade of 10%. Shared driveway agreement required: / no yes <br /> Drainage culvert needed: X no yes Agricultural use only:/. no yes <br /> If culvert required, must meet Driveway Construction Guide standards. <br /> er requirements: <br /> 1,/Shall comply with town private road ordinance and driveway construction <br /> ide for new driveways. <br /> 2. Shall contact Town Patrolman Devin Dahlk, at 437-3648, before starting <br /> onstruction 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. 11 <br /> ********************************************** i�y`*************** **�t*** �.. t1' 1� UPI...� <br /> III. APPROVAL Date Approved By Town Board: (71/'Date Issued: (t /iST '�� ,'6 4 * V- <br /> /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 1� <br /> Dane County Register of Deeds <br /> ('ermitPart 1, Driveway Permit Part 2, Single Residen. , Duplex, Agricultural <br /> $100.00 Fee,;}l• minder: Dane County Erosion Control Standards may apply. <br />