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PHONE N0. --Mar. 22 2006 12:13PM P5 <br /> • <br /> TOWN OF SPRINGDALE DRIVEWAY PERMIT APPLICATION <br /> DATE; <br /> I. CONTACT INFORMATION - To be Completed <br /> by Applicant: <br /> Name and current address' i <br /> of applicant ,1 • <br /> 4- �� S'/ CtL' G . <br /> Z. a N+er. PL, �eciNe 200 <br /> m�DLSO's/ 1,c(i S3 7/1 <br /> Current telephone number: work <br /> • <br /> ome Ra 7-0;6 s' delP 23V" ZifS • <br /> Driveway location in Springdale: J{ <br /> Location: west east south <br /> / � � north bide of Sec.�_ )/irlio fieFtteSW1� iNE?ft of- le Spa'/ikThe J'E/1erilr N4'14/ / l� // <br /> Contact Ed Eloranta, Town Chairman., .#437-4692, to <br /> Please attach a drawing of the driveway $mange a at site. <br /> visit and return to Y location discussed at the site <br /> the Town of Springdale, 2379 Town Hall Rd. , Mt. <br /> Horeb, WI 53572 as soon as possible after the site visit. <br /> ****************************************•k•k-k,t*************pert*******,K**** <br /> II. CONDITIONS - To be completed b Town Board <br /> /a/cien./l mender or its agent: <br /> Width of driveway: J Z/ t f 5 � grade of <br /> !! O Sc Maximum 10%. <br /> Drainage culvert needed: no C, 1 <br /> Ye s 1 tte4c TS d,9 <br /> Length of culvert feet with apron endwalls Tvr Diameter n <br /> X inches <br /> Agricultural use only: )(no , yes <br /> Shared driveway agreement required: <br /> no Yes <br /> Other <br /> 1. Shall comply with town private road ordinance and driveway <br /> construction guide for new driveways. <br /> 2. Shall contact Town Patrolman Dan Chancellor at 437-3648 before <br /> Starting construction of the driveway. - <br /> 3. No Building Permit shall be issued until the driveway permit is <br /> granted. <br /> 4. <br /> III. APPROVAL - To be issued by Town Board:{�• <br /> Date: 'Y /D�4 <br /> The Driveway Permit is valid for one year from date ofuapproval. <br /> $35.00 Fee VReminder:Da.ne County Erosion Control Standards may apply. <br /> • <br /> • <br />