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PART I: (Application) <br /> TO THE TOWN BOARD; The undersigned hereby applies <br /> construct a driveway culvert in the Town f Cross Plains, Dane <br /> County, p rmit to <br /> Y, Wisconsin. The driveway will be in Section <br /> Town of Cross Plains off Hwy. or Town Road ' ��'�___ of the <br /> through the property owned by: <br /> Name of Property Owner r E <br /> • <br /> Signature � /� <br /> --Ld Date S /U O <br /> Mailing Address <br /> Name of Applicant /h,A/v( 6"Ss fr <br /> Signature `gk' <br /> Dates VO <br /> Mailing Address 5 j� L'ndd gel <br /> /% licil4h .6357 <br /> Contractor <br /> A driveway construction plan and erosion control plan will be <br /> presented to the Town Board by <br /> • <br /> Does applicant desire to use material from the excavation of the <br /> house site to provide fill for the proposed driveway? <br /> No Yes (If "Yes", an excavation permit must be <br /> obtained from Town Chairperson. ) <br /> Proposed driveway length (in feet) <br /> Yid. J=' j' <br /> • <br /> Application fee $ <br /> Date fee received <br />