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TOWN OF DUNN PARCEL #: 28-0610.262-•O215- <br /> DRIVEWAY CONSTRUCTION PERMIT APPLICATION Pmna? # <br /> SECTION 1-SITE VERIFICATION <br /> Applicant Name: ■ b-- • MNIIILYWRIS Date: • • <br /> Address: 21• • ME==o .• . 41114 S .9 Phone#:b<)g- g77- <br /> Purpose: XResidential ❑ 'field Road Access ❑Other 078 <br /> (Bldg.site verification not required) 1 f ' <br /> Property Owner's Name: 1-1 a h c,�f \ o r Puo P.V T <br /> Proposed Driveway Location: i S I - 20' u}i dl. nee v Gewt cuiSL on -t t/o in-{a qq€. <br /> On Bay-bey t)kiye., <br /> Driveway will provide access to: ❑US/Co.Hwy Permit# .4 Town Rd. ❑Private Rd. <br /> Does property owner own proposed driveway road frontage?Xyes ❑no (If no,attach copy of easement) <br /> SECTION 2-SUBMITTAL REQUIREMENTS&CONSTRUCTION COMMENCEMENT APPROVAL <br /> Driveway Construction Permit Application must include the following checked information: <br /> Diagram Showing: Other. \ <br /> ,t Property slopes, ei e.v a a-i s ❑ Copy of any required Dane Co.erosion control plan. <br /> Driveway w el e A)a-}Ions ❑ Other <br /> none. •Driveway turnaround. <br /> new)e. -9 Location&structure of retaining walls. <br /> -9-Length,width&-radius of driveway curves. <br /> Driveway cross section showing depth&fill material. <br /> none. $Drainage culvert, ft length, in.diameter. <br /> )(Driveway relationship to property lines,structures,&roads.Center of driveway '3 ti fed fronn <br /> kr �vte.� �te iukJl�3i� IS Ylo� S�"vaic�ttl.4 3I° ,1S ��iQ. doses- c IVI�- ` o t c. . <br /> Lo-I- 1 v► ~J <br /> The undersigned applicant as owner,or owner's agen does hereby attest that all the information provided is true and <br /> accurate Ind does h agree to work in accordance with the plans nd specifications lied. <br /> Signature of Applicant Date <br /> SECTION 3-FINAL APPROVAL <br /> ❑ The Town of Dunn has inspected the above field road and determination has been made that it meets <br /> the Town's minimum standards. The field road is authorized for agricultural use <br /> • ❑ The Town of Dunn has inspected the above driveway and determination has been made that the <br /> driveway meets the Town's minimum standards. The Dane County Zoning Office is hereby authorized <br /> to issue a building permit this day of , . <br /> Signature of Public Works Foreman <br /> White-Town Yellow-Applicant Pink-Dane Co.Zoning <br /> • <br />