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TOWN OF SPRINGDALE DRIVEWAY PERMIT APPLICATION DATE: ✓ 7,e'-di c <br /> I. CONTACT INFORMATION - To be Completed by Applicant: , <br /> Name and current address Pq,yJ 1. I- /7L ( Ay4 .aa,r/ . <br /> of applicant - <br /> 1, ' e , lee 31-6 <br /> Current telephone number: work home <br /> Driveway location in Springdale: ?�KElJ a <br /> Location: west east south Ynorth side of ec. /0 <br /> Parcel number: 060'?- /o /-e-0 -/-0 <br /> 1. Contact Ed Eloranta, Town Chairman, #437-4692, to arrange a site visit. <br /> 2. Please bring to the site visit copies of any and all deed restrictions, <br /> sketch of Town-approved building envelopes, property agreements, etc. which <br /> could impact the location of the driveway and buildings. <br /> 3. Please attach a drawing of the driveway location discussed at the site <br /> visit and return to the Town of Springdale, 2379 Town Hall Rd. , Mt. Horeb, WI <br /> 53572 as soon as possible after the site visit. <br /> *********************ir************************************************* <br /> II. CONDITIONS - To be completed by Town Board member or its agent: <br /> Width of single-use driveway: 12' driving surface, 14' road bed. <br /> Width of shared driveway: 16' driving surface, 18' road bed. <br /> Maximum grade of 10%. Shared driveway agreement required: X0 yes <br /> • <br /> Drainage culvert needed: no yes Agricultural use only: X no yes <br /> If culvert required, must meet Driveway Construction Guide standards. <br /> ther requirements: <br /> 1. Shall comply with town private road ordinance and driveway construction <br /> • <br /> guide for new driveways. <br /> Shall contact Town Patrolman Devin Dahlk, at 437-3648, before starting <br /> construction of the driveway. <br /> 3 No Town Building Permit or Dane County Zoning Permit shall be issued until <br /> Driveway Permit Part 1 AND Part 2 have been issued. ytp,/ <br /> 4. This approval is subject to conformance with the Town-approved building <br /> envelope(s) on file in the Town of Springdale Town Hall./10 <br /> *************************************************.***************** * 4** <br /> • III. APPROVAL - Date Approved By Town Board:3/1' Date Issued: , ' /Ls—. <br /> e Driveway Permit is valid for one year from date of approve <br /> The Driveway Permit is pending recordation of the Certified Survey Map at <br /> Dane County Register of Deeds <br /> Permit --rt 1 Driveway Permit Part 2 Sin.le Residence Duplex, Agricultural <br /> $100.00 Fee Reminder: Dane County Erosion Control Standards may apply. <br /> i/8fs <br />