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t.A-E co. 4 G4-(c-4i 1X--PT. - ern G2EC'��R P�tEr �ory S-1,5 2 21 <br /> zl z <br /> 4 <br /> CHRISTIANA TOWNSHIP <br /> DRIVEWAY/ACCESS PERMIT <br /> APPLICANT PERMIT# 110 <br /> Name: Gerald Scott Polster Phone: 334-8803 <br /> Address:N4676 Old Forest Dr. <br /> Cambridge,WI 53523 <br /> Parcel: Lot 2 <br /> LOCATION: South side of County Highway B,approximately .30 miles west of <br /> Clearview Road in the NW 1/4 of the NE 1/4 of Section 27. <br /> REQUIREMENTS: <br /> Owner shall abide by Ordinance#200. <br /> Owner will need a permit from Dane County Highway Department. <br /> VARIANCES: <br /> None <br /> CONDITIONS: <br /> This permit is void one year after the date it is issued. If construction is not <br /> completed at that time,the applicant is responsible for obtaining a new permit. <br /> It is further understood and agreed that the applicant shall indemnify and hold the <br /> Township harmless according to the conditions stated on the reverse side,during any and <br /> all work activities by those other than Township personnel. <br /> The Town of Christiana granted this permit at a meeting held on: <br /> t <br /> T 20 10 <br /> Town Board Mem.-r Town Clerk <br />