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10/17/2008 FRI 11: 27 FAX 2001/003 <br /> TOWN OF DUNN PARCEL #: 28.0610- 5J I -80 8'0-- j <br /> DRIVEWAY CONSTRUCTION PERMIT APPLICATION PERMIT #: V50 <br /> SECTION 1-SITE VERIFICATION <br /> Applicant Name: 7,Vii Pli e. 5l r e n ne N evCI i S O Date: 1ø- r 11-Q g <br /> Add ess 5/ g 1 I t n AK D12 s37p4 Phone#: NY-1 -- Jam' <br /> Purpose: >11Residential 0 Field Road Access ❑ Other <br /> (Bldg site verification not required) <br /> Property Owner's Name: C.t, G�° G e_ a. S J&h e.Li Z° ( lqcbreMeb <br /> j <br /> Proposed Driveway Location: <br /> Driveway will provide access to: 0 US/Co.Hwy Permit# (Town Rd. ❑ Private Rd. <br /> Does property owner own proposed driveway road frontage?,`lg yes 0 no (If no,attach copy of easement.) <br /> 7 FP . ^ <br /> $F ' <br /> t ? - <br /> ��°�P.> e.+ i';Ye�� .:•����i'._.�ws sv„.�,"t;.e,:t ��b���.:}.'°.. ,�... �.�,I r�.`.. _: Z� �e.i�r,�'i..a��..e*k�dt.i_.�.a._..,?Y��ti'�eL•�t# .,7k� <br /> lb—$--cal <br /> SECTION 2-SUBMITTAL REQUIREMENTS& CONSTRUCTION COMMENCEMENT APPROVAL <br /> Driveway Construction Permit Application must include the following checked Information: <br /> Diagram Showing: Other: <br /> ❑ Property slopes. El Copy of any required Dane Co.erosion control plan. <br /> ❑ Driveway slope. ❑ Other <br /> ❑ Driveway turnaround. <br /> 0 Location&structure of retaining walls. <br /> 0 Length,width&radius of driveway curves. <br /> 0 Driveway cross section showing depth&fill material. <br /> c Drainage culvert, V ft.length, /i S/ in. diameter.e �.5 <br /> O Driveway relationship to property lines, structures&roads.Center of driveway feet from <br /> The undersigned applicant as owner,or as owner's agent,does hereby attest that all the information provided is true and <br /> accurate and does hereby agree to construct the described work in accordance with the plans and specifications filed. <br /> 4 <br /> Signature of Applicant Date <br /> -w t Y +t kx .thrF� � �r�� ✓. � � -a-�c r ^e � a r"k'� y .k� r � <br /> _JF ,_.��_`�'_ _ s_,,.✓.,'y u...N�t,Se'u i,....E.:. (>.�s d a.�5�...Y.C�$. � �,E t£5�.a. �z'�rs y,«r#x�t ..rJ`,t 4 h^_'�.� -k-� & a= 5.^��'s�.�3 ;��F� � Z � 4,�r <br /> 0 <br /> 1/4 x /`13 #3° <br /> SECTION -FINAL APPROVAL r- <br /> 9-5 <br /> O The Town of Dunn has inspected the above field road and determination has been made that it mee s <br /> the Town's minimum standards. The field road is authorized for agricultural use. <br /> O 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 />