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TOWN OF DANE DRI f - AY PERMIT <br /> 1 I 1 2.1 5 <br /> Date Fee at# <br /> "ne and AOress af s.4 - Driveway A.a..". I.I : <br /> MR <br /> DCCYIT an • arah s 0 r d <br /> Road Name <br /> Mooney West <br /> 8318 biarkwolf dr (N/S/E/W)side <br /> MF,R#27—m------7,— <br /> aalson AN ; Feet(WS/E/W)of <br /> 537d685 I 634a <br /> Phone 0 . - <br /> CONDITIONS: <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 jfia, g _14. ' r- I <br /> '. _....--- , 1111f1A1 <br /> . .. -_. Date /Z- /41-4— <br /> 1) Ct JC_ 4/0•e"''' v 7;,-.41 PP bone C <br />