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TOWN OF PLEASANT SPRINGS <br /> • ACCESS DAMAGE DEPOSIT APPLICATION AND PERMIT <br /> FROM PRIVATE PROPERTY TO A TOWN ROAD <br /> Name Of Applicant / //,‘ - y.,,, , <br /> Street Address: , s / ` <br /> City, State, Zip: <br /> • ,_ �" � Phone: � 3 s. 7 � 7 <br /> r <br /> Property Owner Name(if different from Applicant): <br /> Street Address: <br /> City, State, Zip: <br /> Phone: <br /> This property is: residential commercial agricultural manufacturing <br /> Parcel #046/061 1-ai.-Gc - Subdivision Lot Number <br /> Construction locationGZaJ South/East/West Side of 5. v/ �,'04 <br /> located C�Q (Road on which access is located) <br /> feet from <br /> in Section p M�section of wn or town/county rd) <br /> Town of Pleasant Springs. <br /> CONDITIONS <br /> ATTACH A DRAWING OR MAP SHOWING ACCESS LOCATION <br /> SUBJECT PROPERTY. You must ON THE <br /> accesses. specify footage from lot lines and show all existing <br /> 4-2///0t-s <br /> All access driveways to all residential,commercial, and manufacturing t <br /> properties shall be no less than 24 feet in width from the town road through <br /> (, ' r` <br /> the entire length of the road right-of-way to the private property. ~;y�l~`t' <br /> Center of driveway from property line: <br /> No drainage culvert needed. feet. <br /> Drainage culvert Size: Length: feet; diameter: <br /> All culverts must have end sections attached. Apo„11 inches. <br /> 09(7xB)of the Municipal Code] <br /> If this request is for an additional access: <br /> • Property size in acres: <br /> • Total road frontage on the road from which the proposed access would serve the <br /> parcel <br /> • Measurement between centerlines of the existing and proposed accesses in feet <br /> • Distance from the side setbacks of the property <br /> • Zoning classification of the subject property <br /> Number of feet from intersections of any town/town or town/county <br /> roads: <br /> Other requirements: <br /> 1. Finished accesses must remain at, or below, the grade of the roadway edge for a <br /> minimum of ten feet. <br /> 2. Access base shall be in place prior to the start of construction and all vehicles enterin <br /> the property shall use the access to protect the roadway edge. g <br /> C:\Shared\Word files ROADS\Documentslaccess permit revised June 2007.doc <br />