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TOWN OF PLEASANT SPRINGS <br /> ACCESS DAMAGE DEPOSIT APPLICATION AND PERMIT <br /> FROM PRIVATE PROPERTY TO A TOWN ROAD <br /> • <br /> Name Of Applicant /I , 0 Jan 1 - c , .;o/, er <br /> Street Address: '70 1i 4i <br /> City, State,Zip"Mr,- ,,,e 3 7 Phone: , ; �//' <br /> 'sfy• <br /> Property Owner Name(if different from Applicant): <br /> Street Address: <br /> City, State,Zip: Phone: <br /> This property is: residential commercial agricultural manufacturing <br /> Parcel # 046/0611-0023 - SO - 2/ Subdivision Lot Number <br /> Construction locatio : North South/East/West Side of <br /> n U4G�G <br /> located 7 7D �/ ( on whic ess is idea <br /> feet from CM V 7 ree- <br /> in Section (Intersection of town town or town/county rd) <br /> , Town of Pleasant Springs. <br /> CONDITIONS <br /> ATTACH A DRAWING OR MAP SHOWING ACCESS LOCATION ON <br /> SUBJECT PROPERTY. You must specify footage from lot lines and show all exiting <br /> accesses. <br /> Ilrti r S US rJ <br /> All access driveways to all residential,commercial,and manufacturing e $t) 19 <br /> properties shall be no less than 24 feet in width from the town road through 4ri Ue-(-xt <br /> the entire length of the road right-of-way to the private property. <br /> Center of driveway from property line: <br /> X No drainage culvert needed. feet. <br /> Drainage culvert Size: Length: feet; diameter: <br /> All culverts must have end sections attached. section 11, caches. <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 entering <br /> the property shall use the access to protect the roadway edge. <br /> C:\Shared\Word files\ROADS1Documents‘access permit revised June 2007.doc <br />