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TOWN OF PLEASANT SPRINGS ACCESS DAMAGE DEPOSIT APPLICATION AND PERMIT FROM PRIVATE PROPERTY TO A TOWN ROAD p Property Owner's Name: 1 tinCL1d. c fre f Street Address: i • 4 • c' rw► 0 City, State,Zip: 451Mli, W. Phone: I O' '7 70 —MO Parcel#046/0611-a/1,- ;130- 0 Subdivision Lot Number The property is: Residential, Commerci• , • gricultural, anufacturing �(circlle_one) Construction location:North/South ast/West Side of )0 r+h j r)4!1 (Road on which access is located)locate R,76 .4 feet from (.1 vritV /toy I3(Intersection of town/town or town/county rd) CONDITIONS YOU MUST ATTACH A DRAWING OR MAP SHOWING ACCESS LOCATION ON THE SUBJECT PROPERTY. You must specify footage from lot lines and show all existing accesses. ACCESS REQUIREMENTS: 1. All access driveways shall be an area of 8 feet or more from the center of the driveway (ATLEAST 16 FEET IN WIDTH TOTAL),with a full-width overhead clearance of 14 feet or more in height,free of encroachments,as described in WI Stat. 86.04,with an all-weather roadway of compacted road gravel,asphalt,brick or concrete,2 inches or more. (Alternative materials may be considered, but must be approved by Public Works) 2. All culverts must have end sections attached. 3. Maximum grade of access, or any portion of the access,shall be no more than 12% 4. Curves in driveway shall have an inside radius of no less than 36 feet. S. Adequate drainage, including side ditches as r necessary. Purpose of Access Permit 'a S / �QY14/9Di . I fl W e r Applicant is using existing driveway. Applicant is not required to provide a map. (Public Wprks Initials ))� Center of driveway from property line: 2 3 a 6 feet. No drainage culvert is needed. (Public Works Initials )`Drainage culvert Size: Length: a.9 feet; diameter:_______ )inches. Parking Exception Section *Please note there is no parking on Town Roads in the Town of Pleasant Springs. Unless a parking exception is indicated below, all contractors and subcontractors are prohibited from parking on Town Roads in accordance with Town Ordinance 202.Violators will be cited. An exception to Town Ordinance 202 regarding the prohibition of parking on Town roads is granted for this project.Any vehicles used for this project must be parked on the side of (street)ONLY and off the road as much as possible. (It is YOUR responsibility to ensure contractors and subcontractors are restricted to this side of the street.Violators WILL be cited) If this request is for an additional access: • Property size in acres: • Total road frontage on the road from which the proposed access would serve the parcel • Measurement between centerlines of the existing and proposed accesses in feet • Distance from the side setbacks of the property