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Town of Sun Prairie <br /> Driveway Permit Application <br /> (Access from private property to a town road) <br /> NAME OF APPLICANT: owl aRlicAORST <br /> ADDRESS OF APPLICANT: <br /> PHONE NUMBER: <br /> LOCATION OF PROPOSED ACCESS: <br /> N ,4k, South, .ii, West side of 2, p c.E R D Road <br /> (circle one) <br /> Located God Milos/feet from GO. Alt bang <br /> In Section 3` , Town of Sun Prairie <br /> PERMIT CONDITIONS <br /> (To be completed by Town Personnel) <br /> Width of driveway �J® feet. <br /> Center of driveway from property line: 18 feet. <br /> [ ] No drainage culvert needed. • <br /> [so] Drainage culvert needed. Size: Length 3o feet <br /> ARCfi <br /> Diameter I S inches Wl E N D S <br /> All culverts are to have ends <br /> Other Requirements: <br /> All construction equipment must use this entrance to access lot. All culverts must <br /> have ends (wings). Culverts are to be completely installed prior to final inspection and <br /> approval by highway personnel. <br /> Permit granted: w•�:. Date 3- 31- 0 t <br /> Town Official/D ignee Signature <br />