Laserfiche WebLink
• <br /> Town of Oregon . <br /> Driveway Permit Application <br /> Name and Address of Property "Owner" .\--„ <br /> Or Agent for Property Owner (if applicable): (--7.e.ln r 14hrrv< LC( <br /> Phone Number of Owner 1 Orb Is9(.2( ' 0 KC, Agent LOS C-7(.e'" 9 63(P <br /> Location: side of Town Road -�t 1 (rw41--In_located "2, ri S r-4_. <br /> from Echo VA.u,, in Section 21 Town of Oregon. <br /> Conditions / <br /> Width of driveway 2-1-1 in feet. Center of driveway from property line: 7 L feet. <br /> No drainage culvert needed. OR <br /> Drainage culvert needed. Size: Length 24- feet <br /> Diameter k tt inches <br /> Permit Fee $100; Field Drive$50.00; Re-inspection Fee$50.00 =; <br /> Other requirements: Inspection of proposed drive must be done 48 hours prior to beginning of <br /> excavation work. <br /> or A� rAoc‘ _ Ko o I r cN(�,t,CA l�r�F C��cor()on c( (0-4 , <br /> (�I�1Vt4. f 1 /re) ,t , rp• , `1 r <br /> I acknowledge rec ' of the Town of Oregon driveway ordinance and conditions of approval: <br /> Signature of Property Owner or Agent Date <br /> Approval <br /> Permit Granted (two signatures required): <br /> Ji -4Y* <br /> To n Board Chairman Date <br /> ��1 <br /> �s� r�-� ( <br /> Town Public Wo ks Date <br /> FOR OFFICE USE,ONLY: Date Permit Fee Paid: Check Number: Receipt Number: <br />