Laserfiche WebLink
Driveway Permit Fee: $50 <br /> Town of Sun Prairie Road Damage Escrow: $1500. <br /> 5556 Twin lane Road <br /> Marshall, WI 53559 Location: 2-Z-I CLirty OAK Cr <br /> �C i i3 3 e_ cfA S s.t+SDt v i S 1 0 Ni <br /> 1/4 of 1.'4, Sec. <br /> Application to Permit to Construct a Driveway <br /> (Access from private property to a town road) <br /> REQUEST BY APPLICANT <br /> Name <br /> iAAR-T NOBt.-E 't I <br /> Address <br /> -19 2-3 1 P—FL F--1- P n INet 1 CDF-CTU N W 5 3 5(0 2- <br /> Office phone ( -) B-51_4,2-z Local phone: Fax: <br /> Plans Prepared by Copy Enclosed >. Yes No <br /> Location of Proposed Nort)South, East, West Side of 4�EN 04‘.11-- �r Road <br /> Access: <br /> Section# Feet/Miles from <br /> The applicant understands and agrees that the permitted work shall comply with all permit provisions and conditions <br /> listed on the reverse side hereof, any special provisions listed below or attached hereof, and any and all plans, details <br /> or notes attached hereto and made a part thereof. <br /> BY Title �sSISi ANT N <br /> Signature ofApplid <br /> Date o—I • O 1 <br /> *** .*****.,,,****ki.'!:******:***isisk*'.'.*J:*:tk'**is nF{-,f,.- .******-.i./;.l.****i:kr..,.,.- ****;;A.t.irk,,,.*.,,....********..t,.a;s***k** <br /> Permit Conditions: Completed by Public Works personnel <br /> • Width of driveway IA. ' - <br /> • Center of driveway from property line: 5o` - o ' r� �s� PRoP - T ' L_1 Ni_) <br /> • Drainage Culvert Needed x No Drainage Culvert Needed <br /> Size: Length: feet <br /> i <br /> Diameter inches <br /> All Culverts are to have enc - <br /> Other Requirements: All construction equipment must use this entrance to access lot. All Culverts must have <br /> ends (wings). Culverts are to be completely installed prior to final inspection and <br /> approval by public works personnel. <br /> Estimated Starting Date l/ / I b Estimated Completion Date 01 / I / I <br /> Notify the Town Office at 837-6688 when project is completed. <br /> DRWAY Permit Procedure.doc Rev 4'16/15 4 <br />