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3. In the event a culvert is required, said culvert shall be covered by sufficient material <br /> • to protect it from the weight of vehicles using the access. owner.Placement and maintenance of culvert is the responsibility of <br /> County and own of <br /> 5. All dimensions and construction of accesses will adhere <br /> Pleasant Springs standards. <br /> 6. Nothing may be placed in the public right-of way except legally constructed <br /> mailboxes aused by demolition <br /> 7. The Prop m <br /> Property owner is responsible for damage to road edgex Y <br /> and/or construction. <br /> A NOWLEDGEMENT: <br /> As owner of the above named property, I acknowledge and agree that I am responsible for <br /> any damage to the roadway, shoulder or right-of-way, <br /> which occurs during the emolition <br /> and/or construction process,up to and including any time period until an occupancy <br /> permit and/or final demolition inspection notice from the Town of Pleasant damage of <br /> Building Inspector is issued and received by the deposit. <br /> $ a a ra I make will be retained until the Town Board acts to release the depo <br /> No deposit will be returned until all inspections are complete and compliant. Costs for <br /> any damage,solely determined by the Town,will be deducted from the deposit prior to <br /> return. <br /> ' o V LILA Date <br /> Property Owner Signature ' <br /> Approval of initial access h I f <br /> To• Repres f :tiv TF Da <br /> Additional Access: ' 20_ <br /> Access granted/denied by the Town Board on: <br /> Reason for denial <br /> ak) Type: _ personal check <br /> Deposit amount: �� money order/cashier's check <br /> Date deposit authorized to be returned by: Public B a ff <br /> Staff: <br /> Date deposit authorized to be held by Town Board: <br /> Date deposit returned by Clerk/Treasurer: <br /> Comments: <br /> C:\Shared\Word fileskROADS\Documents\access permit revised June 2007.doc <br />