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08/30/1999 13:19 60084574E9 SCHMITT LAW OFFICE NAVE e� <br /> PAGE 2 <br /> Name of applicant of Driveway Culvert Application: <br /> PART II: (Permit) <br /> 1. Town Board denied driveway permit. Date: <br /> •7. approved permit. Date: /2- J - c- c`' <br /> 2 . Engineers' Plan is not required. <br /> is required. <br /> Date of approval by Town Board // /, S " `(. <br /> 3. A culvert at the ditch line where the driveway meets the public <br /> road <br /> ✓,/ <br /> is required. <br /> is not required. <br /> Signature of Town Board Chairperson Date <br /> PART III: (Inspection of Completed Driveway) <br /> Driveway is in accordance with plans approved by the Town <br /> Board. <br /> t ,Driveway is not acceptable. <br /> Owner will make required improvements by <br /> Comments: <br /> Signature .of Town Chairperson Date <br /> NOTE: This form fully completed must be presented to the Dane <br /> T r County Zoning and Natural Resouroee Committee before the <br /> County will issue any required building permits. <br />