DCPZP-2008-00536 - Laserfiche WebLink

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Dane County Highway and Transportation Department ACCESS PERMIT This application and permit is required and shall be issued in accordance with the provisions of Section 83.027 of the Wisconsin Statutes and Chapter 79 of the Dane County Code of Ordinances. Applicant is to complete all of the following requested information(please priptor type); SAW'. Q y County Trunk Highway to p Name �/s �� which access is requested: Address m# Pole ! _ _5350 ro.8 437-5768 ,��-8y5-"-%�r .. 103 '/ Home Phone Work Phone `FAX AX 7�� Existing Access?: If yes,bow modified?(check one): ❑Yes O No ❑Relocated /❑Removed Change of use ❑Culvert replace ❑Asphalt Paving Describe Use: Callen va.4s.11-1 Y.(o it/2nY4 Location(check one): Town 6 Village ❑City of spry>yd/9,/.e Name of Highway and North/Sonth/East/West side: !` Name of nearest cross road: i/q/'fgn 21. Distance and direction from nearest cross road: Existing Zoning: /)/ Zoning meets intended use?: ❑Yes 271No Type of Permit Requested(refer to reverse side for explanation of controlled and non-controlled access): O S50 Temporary Controlled Access 0 S35 Temporary Non-Controlled Access 0 850 Agricultural Controlled Access ❑$35 Agricultural Non-Controlled Access ❑S50 Residential(single family)Controlled Access ❑835 Residential(single family)Non-Controlled Access 0 S100 Residential(multi-family)Access 'S100 Commercial,<100 ADT" O 5500 Private/Public,New/Existing,Street or Road d 8250 Commercial,>100 and<1,000 ADT 0 S20 Miscellaneous ❑8500 Commercial,>1,000 ADT ADT denotes Average Daily Traffic. Data substantiating ADT for access or road intersections may be required. Check or money order in the amount of i t 00.00 ,payable to the Dane County Highway and Transportation Department is enclosed. Cash will only be accepted in person. Do not send cash in the mail. The applicant understands and agrees that the permitted work shall comply with all permit provisions and conditions listed on the reverse side hereof;any special provisions listed below or attached hereto,and any and all plans,details or notes attached hereto and a part thereof. Property owner is responsible for notifying Dane County of any cclon iti and/or restrictions. B Date 9��OWO Signature of Applicant/Representative NOTE: Application should be accompanied with plans or plat or CSM when appropriate. Application fee must accompany all applications. Applications to be submitted to Dane County Highway and Transportation Department,2302 Fish Hatchery Road,Madison,W! 53713. Contatx the Assistant Commissioner at 266-4036 or Engineering office at 266-4037 with any questions. DO NOT WRITE OR TYPE BELOW THIS LINE—FOR DANE COUNTY USE ONLY PERMIT APPROVAL BY DANE COUNTY COUNTY PERMIT NUMBER: Do-et-D/4 The foregoing application is hereby approved and permit issued by Dane County subject to full compliance by the Applicant with all provisions and conditions stated herein and on the reverse side hereof and all attachments hereto. Other Special Provisions: The access sham be located 2035 feet south of the centerline of Bakken Road. Install an 18 Iasi x 30 foot corrugated metal pipe with end walls or grade the area the right-of-way so that no water is standing in the rigid-of- wily. Remove the existing agricultural access oa the east side of CTH"P which is 2240 feet south of the centerline of Bakken Road. Endured is the"Culvert Sdeetion Chart Pot Rural Private and Field Entrances." Note is the cross-section, the water must drain 8 to 10 feet away from tic edge of the existing shoulder. This access permit is contingent on Town Board Approval and other required Permits and Approvals. By This access permit is contingent on proper zoning of this io.,,P,,.f.,. ��«— Si ft of n Dane County presentative !/ Date -4/j�o By Title Phone .04e-+/c)/)/ 46/91.lit AM Page 1 of 2