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TOWN OF CROSS PLAINS <br /> DANE COUNTY, WISCONSIN <br /> DRIVEWAY AND CULVERT APPLICATION, PERMIT AND <br /> INSPECTION FORM <br /> PART I: (Application) <br /> TO THE TOWN HOARD; The undersigned hereby applies for a permit to <br /> construct a driveway culvert in the Town of Cross P ains, Dane <br /> County, Wisconsin. The driveway will be in Section , ' of the <br /> Town of Cross Plains off Hwy. or Town Road (,{/'11 Aecr T r44.- <br /> , through the property owned by: <br /> Name of Property Owner /(41. 7- i t 4 de4 11. 'c TJ`— <br /> Signature Date i ''/Gr-G& <br /> Mailing Address <br /> Name of Applicant <br /> Signature Date <br /> Mailing Address <br /> Contractor <br /> A driveway construction plan, site plan according to Town <br /> Ordinances and erosion control plan will be presented to the Town <br /> Board by <br /> Proposed driveway length (in feet) Are <br /> Application fee $ < C'G. <br /> Date fee received <br /> tif 00‘ – <br />