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TOWN OF COTTAGE GROVE <br /> DRIVEWAY EMIT <br /> (For access from private property to a town road) <br /> Name and address <br /> of applicant (t N <br /> .J t ill C 7" 1d r;t i(1 / . ) �F <br /> 2 / +a1 ' J p dJ Pyt <br /> D P fr�,� C4 1( 53 S`. A <br /> Phone S-2‘, ' 8-i 7 y <br /> Location: aide of 1. 4u Den) A <br /> located miles/feet from ivy a ( n) •/ 1 :1(/ f/' <br /> in Section , Town of Cf 4/c1 6i:l t1-k_ <br /> CONDITIONS <br /> Width of driveway: feet. <br /> Center of driveway from property line: feet. <br /> 00 No drainage culvert needed. <br /> [ ] Drainage culvert needed Size: Length feet <br /> Diameter inches. <br /> Other requirements: <br /> 1 <br /> r.(� 4i/ c "./ t ' LA)) )/71 A k 4 <br /> Permit granted: I r Date ?` �` Oir <br /> Town of: )ii ( {1't. <br /> [White copy-Town; Yellow copy-applicant; Pink copy-Dane County Zoning) <br />