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TOWN OF DANE DRI - AY PERMIT <br /> 1 11i5 <br /> 5 <br /> new Fee Clc# <br /> Suee aodfreas ritM arah Driveway : <br /> Road Name s op rd <br /> Mooney West <br /> 8318 biackwolf d r (NISIFAV)Side <br /> Feet(N/S/EM/)of <br /> 44' 11c i •-■ <br /> A <br /> P hone lbw 851 <br /> CONDMONS: <br /> For access from private property to a Town road the permitted driveway must meet all requirements Per <br /> Town Ordinance# 1002. <br /> Signed certification that the applicant agrees to read and abide by the Town Ordinance. <br /> • <br /> Permit Granted By jfiaEL4 ' <br /> Date /2;j -ir <br /> 1) cox AliNe v <br /> 73 k-0.1Mt bric k•141‘e_ <br /> • <br />