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TOWN OF COTTAGE GROVE <br /> DRIVEWAY PERMIT <br /> (For access from private property to a town road) <br /> Name and address <br /> of applicant <br /> r <br /> 9L 44 , <br /> ‘2.-644 Aa ) c- <br /> Phone <br /> Location: S,( ) rm." side of <br /> located miles/feet from <br /> - <br /> in Section /r7) , Town of I', <br /> •*****‘************ <br /> CONDITIONS <br /> Width of driveway: feet. <br /> Center of driveway from property line: feet. <br /> 03 No drainage culvert needed. <br /> C ) Drainage culvert needed Size: Length feet <br /> Diameter inches. <br /> Other requirements: <br /> Permit granted: ,-, , 7\ <br /> 1,1 <br /> ,Zyt ; Date /..'s Z' I <br /> ( <br /> ir <br /> Town of: 1-1• : <br /> [White copy-Town; Yellow copy-applicant; Pink copy-Dane County Zoning] <br />