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4-15-2008 14:52 ENCORE CONSTRUCTION 6082709691 P.02 <br /> Ze <br /> OFOGI 9 <br /> • <br /> Town of Burke <br /> Driveway Permit Application <br /> (Access from private property to a town road) <br /> NAME OF APPLICANT: E�'^-, I4' ry <br /> ri <br /> ADDRESS OF APPLICANT: L h ( Je Le. S1r+.ct,3 1'p s, <br /> • <br /> 9-12-3 23 I 7,41.c -pia C tr 5 q,;- C 0 1/!'►ardf J�`d'? ij�!'71g <br /> PHONE NUMBER: 6.0 7) 2-- 7511/ <br /> PROPERTY OWNER: T3 it)l dc f7d /9),-/y 62e-EP L' - .—5 ka <br /> LOCATION OF PROPOSED ACCESS: <br /> Lot# a al Subdivision G r k€- g.no/ 7 street A 3S7 A rllc.d r-e)+ 5 PISS <br /> North, Sou . est side of Road <br /> Town of Burke,Dane County, Wisconsin <br /> • * * * * * * * * * * * * * * * * * * * * * * * * * <br /> PERMIT CONDITIONS <br /> (To be completed by Town Personnel) <br /> Driveway is 24 feet wide. I request a variance of _feet <br /> All culverts are to be 24 feet long. Diameter is 18 inch arch with end walls (wings). <br /> { } No drainage culvert needed <br /> { } Variance from size needed. <br /> Other Requirements: <br /> All construction equipment must use this entrance to access lot. Culverts are to be <br /> completely installed prior to final inspection and approval by highway personnel. <br /> I acknowledge receipt of attached Ordinance and agree to follow all terms. <br /> 1,4 0pLej,7Z ;,, Date: 6,7- CJ'3—c)Se <br /> Applicant sigma <br /> Permit granted: U Date: // <br /> wn Official/Design= Sign ature) <br /> TOTAL P.02 <br />