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• PHONE NO. : Oct. 24 2008 05:46PM P1 <br /> TOWN OF SPRINGDALE DRIVEWAY PERMIT APPLICATION DATE: fO/eZ!/Va <br /> I. CONTACT INFORMATION - To be Completed by Applicant: <br /> Name and current address (Ji <br /> of applicant <br /> ygio MC74er4 t c e <br /> /I'1 ivae ti car S 37'/1 <br /> Current telephone number: work 120 - 3y So h e d7/ -F3-2-/ <br /> Driveway location in Springdale: k?e 15 .60. <br /> Location: west Xeast south north side of fie,444 Sec. <br /> Parcel comber: - .ZG -91Qc -o �;,f�G,S/� // 96 <br /> Contact Ed Eloranta, Town Chairman, 8437-4692, to arrange a site visit. <br /> Please attach a drawing of the driveway location discussed at the site <br /> visit and return to the Town of Springdale, 2379 Town Hall Rd. , Mt. <br /> Horeb, WI 53572 as soon as possible after the site visit. <br /> II. CONDITIONS - To be completed by Town Board member or its agent:' <br /> /a' 4*-14/40-44., <br /> Width of. driveway:�feet Mazimun grade of 10%. <br /> °U <br /> Drainage culvert needed: no yes <br /> If culvert required t t meet Driveway Construction ( aide standards. <br /> Agricultural use only: )(no yes <br /> Shared driveway agreement required: no XC yes re <br /> Other requirements: <br /> 1. Shall comply with town private road ordinance and driveway <br /> construction guide for new driveways. <br /> 2. Shall contact Town Patrolman Devin Dahlk at 437-3648 before starting <br /> construction of the driveway. <br /> 3. No Building Permit shall be issued until Driveway Permit Part 1 AND <br /> Part 2 has been issued. <br /> 4. AZgssiot rn? y 'P -7vr- Fi r6"TRue&-70 66 <br /> 44--Cy <br /> III. APPROVAL - Data Approved By Town Board J5 Data ISS119d4 9,4 <br /> o Driveway Permit is valid for voe year from to of approval. <br /> The Driveway Permit is pending recordation of the Certified Survey Map <br /> at Dane County Register of Deeds <br /> Permit part 1 rivora - .__ 2 _i.. - - - . - . .- Duplex <br /> $100.00 Fse Reminder:Dane County Erosion Control Standards say <br /> apply. <br />