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TOWN OF ALBION <br /> ACCESS "DRIVEWAY"APPLICATION AND PERMIT <br /> FROM PRIVATE PROPERTY TO A TOWN ROAD <br /> Cost of Access Permit is$50.00 Deposit: $2500.00 <br /> • <br /> Name of Applicant J 1 (./k VGck <br /> Street Address: XJ'I1 r r \ a- <br /> City,State,Zip: A , , •, V _.i G Phone: (s •- 1 <br /> Property Owner Name(if different from Applicant) h4k4 <br /> Street Address: I/3 e6,5,t1 V " T>c - <br /> City,State,Zip: ,4 .' , A <br /> This property is Identia commerciatagriculTural manufacturing(circle one) <br /> e # 0517-1`.8- 70 7 <br /> Construction location:North ou East/West Side of 0..)"..4A-; 6 30- <br /> (Road on ch access is ) <br /> located 7 0 1J e,51-from <br /> (Distance) (Idesecnots of town/lown or town/county rd) <br /> in Section 25,Town of Albion. <br /> ATTACH A DRAWING OR MAP SHOWING ACCESS LOCATION ON ABOVE <br /> • PROPERTY..Specify footage from lot lines and show all existing accesses. <br /> Stopping Sight Distance Available: <br /> Posted Speed Limit: S5mph <br /> Stopping Sight Distance Required at Posted Speed Limit: l f <br /> Remarks: �Y'a p O3Cc 16c4 ft■, rf, l tw w 1 l\\ 1)eJKc <br /> NOTE: Stopping sight distance for driveways is measured with an eye height of 3.5 feet above <br /> the pavement and an object height of 0.5 feet above shoulder elevation. To Determine"Stopping <br /> Sight Distance",please refer to the DOT Values Table. <br /> Design Speed MPH Stopping Sight Distance <br /> 25 155 <br /> 30 200 <br /> 35 250 <br /> 40 305 <br /> 45 360 <br /> 50 425 <br /> 55 495 <br /> 60 570 <br /> 65 645 <br /> 70 730 <br /> C:\Users\Albion\Doeuneute.Driveways\DRIVEWAY APPLICATION&PERMIT I-1.2016,docx ___l <br /> 4/24/06 <br />