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.Dei v cu4cy PCB If P/ -7 / f Z •. <br /> TOWN OF SPRINGDALE DRIVEWAY PERMIT APPLICATION DATE: ?-g-,20 <br /> I. CONTACT INFORMATION - To be Completed by Applicant: <br /> � <br /> Name and current address 1)12-V 4" f� Ri(^0.-- ,, <br /> of applicant W-ritd , , `G <br /> Current'telephone number: work home 1' f OP4lio <br /> Driveway location in Springdale: C(, KA( kQ h <br /> Location: )(west east south north side of C(,(yl( ? Sec. I 7 <br /> Parcel number: <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 Townf Springdale, 2379 Town Hall Rd. , Mt. Horeb, WI <br /> 53572 as soon as possible After the site visit. <br /> ************************************ :* :************************;r******* <br /> II. CONDITIONS - To be completed by Town Board member or its agent: <br /> "i.th of single-use driveway: 12' driving surface, 14' road bed. <br /> idth of shared driveway: 16' driving surface, 18' road bed. �/ <br /> Maximum-- <br /> aximmuum grade of 10%. Shared driveway agreement required: no /1 yes. <br /> we <br /> Drainage culvert.needed: no ves Agricultural use only: A no yes <br /> If culvert required, must meet Driveway Construction Guide standards. <br /> • •er requirements: <br /> hall comply with town private road ordinance and driveway construction <br /> • ide for new driveways. <br /> hall contact Town Patrolman Davin Dahlk, at 437-3648, before starting <br /> ZT) <br /> nstruction,.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 /> OThis approval is subject to conformance with the Town-approved building <br /> envelope(s) on file in the Town of Springdale Town Hall. <br /> 5 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 /> an 1000 feet: <br /> ******************************************** `` ******************** ** <br /> III. APPROVAL - Date Approved By Town Board /0, Date Issued: / 206. <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 <br /> Dane Count Re is <br /> ermit Part 1, Driveway P= t Part 2, Sin le- Residence Duplex, Agricultural <br /> 100.00 Fee - •- Dane County Erosion Control Standards may apply. <br />