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✓,tzc G't L / Z/ <br /> TOWN OF SPRINGDALE DRIVEWAY PERMIT APPLICATION DATE: /- 3,1-/7 <br /> I. CONTACT INFORMATION - To be Completed by Applicant: • <br /> Name and current,address CAlt.S [ . oc, <br /> of applicant 9 7 <br /> e Current telephone number: work '.612?-..r 7 7'y 9 VS-home <br /> f ,c, ,�/"e 13-ed j r` ,2://1<if <br /> Driveway location in Springdale: C__.e�r r:c' ✓ J i^ <br /> Location: west east south north side of Sec. <br /> Parcel number: . (2C e, 7-7 S/P5 7&'Q - • <br /> 1. Contact Ed Eloranta, Town Chairman, #437-4692, to arrange a site visit. . <br /> 2. Please bring to the site visit copies of any and all deed restrictions, <br /> sketch of Town-approved building envelopes, property agreements, etc, which• <br /> could impact the location of the driveway and buildings. <br /> 3. 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. Horeb, WI <br /> 53572 as soon as possible after the site visit. <br /> . 1..2 U *********************Yt****4*************^******************•k*****ikir***** <br /> II. CONDITIONS - To be completed by Town Board member or its agent: <br /> L/00 Width of single-use driveway: 12'. driving surface, 14' road bed. <br /> Width of shared driveway: 16' driving surface, 18' road bed. <br /> Maximum grade of 10%. Shared driveway agreement required: " no yes <br /> Drainage culvert needed: no ,yes Agricultural use only: no yes <br /> If culvert required, must meet Driveway Construction Guide standards. <br /> • <br /> her requirements: <br /> Shall comply with town private road ordinance and driveway construction <br /> guide for new driveways. • <br /> Shall contact Town Patrolman Davin Dahlk, at 437-3646, before starting <br /> construction of the driveway. - <br /> 3. No Town Building Permit or Dane County Zoning Permit shall be issued until <br /> Driveway Permit Part 1 AND Part 2 have been issued. • <br /> 4. This approval is subject to conformance with the Town-approved building <br /> envelope(s) on file in the Town of Springdale Town Hall. • <br /> ******************************************* * ************** ** *** <br /> III. APPROVAL - Date Approved By Town Board:,,y Data Issued: 2f-if o1 1 <br /> • <br /> The Driveway Permit is valid for one year fr— date of approval. <br /> The Driveway Permit is pending recordation of the Certified Survey Map.a.t - <br /> Dane County Register of Deeds <br /> -ermit Part 1, Driveway Permit Part a, le Residenc Duplex, Agricultural <br /> $100.00 Fee -emin-= . - = -- .Erosiiiii=b1M7551 Standards may apply. • <br /> • <br />