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TOWN OF SPRINGDALE DRIVEWAY PERMIT APPLICATION DATE: -7 ' 2S ^0 8 <br /> I. CONTACT INFORMATION - To be Completed by Applicant: <br /> Name and current address '?G,v A Is V. gmtitvt/ <br /> of applicant <br /> 3SGo Trti4 ipe/e4,4 - r°d_rIsS Pc/9/As, 1J43 <br /> Current telephone number: work 60g'•2.2c - arc home 6a,SO. 79g. 9-7s-90 <br /> Driveway location in Springdale: CSni 'Q� La/ 2 EL, 73(a° 2 /ICJ y. j?) <br /> Location west east south north side of Sec. 9, Tory k'7 0-. <br /> Parcel number: 0 .S Yd 607 - 09y- Fs- y/ "6 <br /> Contact Ed Eloranta, Town Chairman, #437-4692, to arrange a site visit. <br /> Please attach a drawing of the driveway location discussed at the site <br /> visit and return to the Town of Springdale, 2379 Town Hall Rd. , Mt. <br /> Horeb, WI 53572 as soon as possible after the site visit. <br /> *********************************************************************** <br /> II. CONDITIONS - To be completed by Town Board member or its agent: <br /> Width of driveway: feet Maximum grade of 10%. <br /> Drainage culvert needed: no yes <br /> If culvert required, must meet Driveway Construction Guide standards. <br /> Agricultural use only: X no yes <br /> Shared driveway agreement required: no X yes ?`L��46 <br /> Other requirements: // <br /> 0 Shall comply with town private road ordinance and driveway <br /> ,�coonstruction guide for new driveways. <br /> / 2J Shall contact Town Patrolman Dan Chancellor at 437-3648 before <br /> �- starting construction of the driveway. <br /> 0 No Building Permit shall be issued until Driveway Permit Part 1 AND <br /> Part 2 has been issued. <br /> 4. <br /> *********************************************************************** <br /> III. APPROVAL - Date Approved By Town Board:��j� Date Issued: 4" <br /> The Driveway Permit is valid for one year from date of approval. <br /> The Driveway Permit is pending recordation of the Certified Survey Map <br /> at Dane County Register of Deeds <br /> Permit Part 1 Driveway Permit Part 2 Single Residence Duplex <br /> $100.00 Fee Reminder:Dane County Erosion Control Standards may <br /> apply. <br />