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ea" SPPF4rs,'kt{4rWt .aNP rR w't.4. "17.0+, .s <br /> TOWN OF DEERFIELD - ,3000 st>citel <br /> DRIVEWAY PERMIT 77Z 1.t1pact Tee. <br /> (For access from private property to a town roads /DD giriU /°- <br /> 1/4.387Z,. /v7 - <br /> Name and address <br /> of applicant <br /> /1)06i <br /> Phone p08- 3/. '"7e <br /> 1 <br /> Location: Alc r side of f <br /> located miles/feet from iAiei'.4;`;4Tj.,:a4 N. 74a,r 011yf <br /> in Section 43" , Town of e^'v* A f <br /> CONDITIONS <br /> Width of driveway: feet. <br /> Center of driveway from property line: - feet. <br /> [ ] No drainage culvert needed. <br /> ] Drainage culvert needed Size: Length t„ip feet <br /> Diameter ,/ti inches. <br /> Other requirements: <br /> /fr(0 et /44 <br /> , <br /> Permit granted: of Date /U-/7 <br /> Town of: /}eeiv % ` Id <br /> [White copy-Town; Yellow copy-applicant; Pink copy-Dane County Zoning] <br />