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TOWN OF SPRINGDALE DRIVEWAY PERMIT APPLICATION DATES '(U <br /> I. CONTACT INFORMATION - To be Completed by ApplicaA <br /> Name and current addres46 heA� d- -fri'�,1 Okn dQr,S4 n <br /> of applicant l <br /> //A N Fpcun���,,s-f- p011el / (1 <br /> Current telephone number' ua,-440,7 4p 11 home 9L gq / 'lo <br /> Driveway location in Springdale: Ex k pa <br /> Location: west east south north side of See.A <br /> Parcel number: d 54/ 6,o / L i 9.5-0i- C) <br /> 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 /> II. CONDITIONS - To be completed by Town Board member or its agent: <br /> Width of single-use driveway: 2' iving surface, 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 /> ( <br /> -*Drainage culvert needed: no )( yes Agricultural use only: )(no yes <br /> If culvert required, must meet Driveway Construction Guide standards. <br /> • •er requirements: <br /> OPShall comply with town private road ordinance and driveway construction <br /> • ide for new driveways. <br /> �' )� .JBhall contact Town Patrolman Devin Dahlk, at 437-3648, before starting <br /> Qconstruction 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 /> ********************************************t*,*�.r **************** ** *** <br /> III. APPROVAL - Date Approved By Town Board:jp /Date Issued: q / ) <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 County Register of Deeds <br /> P • Part 1, Driveway Permit Part 2, Single Residence, Duplex, Agricultural <br /> $100.00 3e Reminder: Dane County Erosion Control Standards may apply. <br /> 1 012 <br />