Laserfiche WebLink
TOWN OF CROSS PLAINS DRIVEWAY PERMIT APPLICATION <br /> DATE: I94o/20// <br /> I. CONTACT INFORMATION-To be Completed by Applicant: <br /> Name and current address gOt,51-74 7. Obzwi it <br /> of applicant / �// <br /> q;3/ 1,4„40,-, Frv.9 /0/ocfa ,/ " 'A'C7(,So% t 'J <br /> Current telephone number: work 609-332--, home ' (o/- 334! - 7016 <br /> Driveway location in Cross Plains: 9747 Obi 1111 r/c,//,ey koi <br /> Location: west east south north side of Sec. % <br /> Parcel number: r5 AT 11 N 9 <br /> Contact Town Chairman,#798-0189, to arrange a site visit. <br /> Please attach a drawing of the driveway location discussed at the site visit and return to the Town <br /> of Cross Plains,3734 County Road P, Cross Plains,WI 53528, Phone (608)798-0189 <br /> as soon as possible after the site visit. <br /> II. CONDITIONS-To be completed by Town Board member or its agent: <br /> ►� <br /> Width of driveway: 1 1 feet Maximum grade of 12%. T •' irr <br /> Drainage culvert needed: no yes - 1 <br /> If culvert required, must eet Driveway Construction Guide standards. • <br /> Agricultural use only: ' no yes <br /> Shared driveway agreement required: no K. yes \— , <br /> Other requirements: <br /> 1. Shall comply with town private road ordinance and driveway construction guide for new <br /> driveways. <br /> 2.Shall contact Town Patrolman before starting construction of the driveway. <br /> 3.No Town Building Permit or Dane County Zoning Permit shall be issued until Driveway <br /> Permit Part 1 AND Part 2 has been issued. <br /> 4. <br /> ********************************************** * ************* *** ** <br /> III.APPROVAL—Date Approved By Town Board: .6 ate Issued: f �(� /(to <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 Dane County <br /> Register of Deeds <br /> Permit: Part 1 Driveway Permit Part 2 Single Residence <br /> $200.00 Fee V ), _ <br /> Reminder: Please check with Dane Co. Land and Water Resources Department on soil e 1 ion <br /> permits to see if required. <br /> tik g <br /> r. ?52f.:._• ( gi <br /> \.:0_il).19 C.42,\X4 c9(ek, • <br />