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TOWN OF ROXBURY DRIVE PERMIT APPLICATION <br /> SEE DRIVEWAY ORDINANCE 2001-A <br /> APPLICANT <br /> Name c4-4L6 (24--,7‘7,./-7,- v /"ie r. /do"-, .✓E."—" .✓ <br /> Address 79ye ris,� E � . 4ux S3s c-3 <br /> 79 <br /> Telephone Day Business 370- 2318 Evening <br /> LOCATION <br /> 7Wie e_. ._- -Street, Road, Highway etc.(NSEW)-of -Road located <br /> (NSEW) from Road in the quarter of the quarter in Section /0. In the Town of <br /> Roxbury. Plat . CSM# . <br /> Ik i�7l ' dOti Wa Z c". he) <br /> REQUIREMENTS <br /> Centerline of driveway to be feet (NSEW) of the(NSEW) from property line. Surface width of <br /> driveway to be a minimum of feet, with a foot sub grade. <br /> Culvert: Length feet . Diameter inches, with Wisconsin DOT end walls. <br /> No culvert required . Engineer's plan required(yes) (No) <br /> CONDITIONS <br /> You are required to contact the Town Engineer(MEI)at 608-643-5329 a least two working days before <br /> starting construction. Refer.to Roxbury Permit Ordinance 2001-A for constructions specifications.Contact <br /> MEI if you have specific driveway construction questions. Upon completion, notify the Town Engineer within <br /> 30 days to schedule a driveway inspection. This permit expires one year after the date approved by Town Board. <br /> If construction is not completed within one year of issue, the applicant must apply for a renewal permit. <br /> APPLICATION FEE,PERFORMANCE BOND &ENGINEERING/INSPECTION COSTS <br /> The application fee to construct or relocate a driveway is $250.00,payable to the Town of Roxbury at time of <br /> approval. A performance bond of at least$2.500.00 for the first two hundred fifty feet. Plus ten dollars per foot <br /> for driveways over two hundred fifty feet. Is also due in form of check made payable to the Town of Roxbury. <br /> The bond amount will be returned after the Town Engineer inspects&approves the finished driveway and all <br /> Town Engineering& inspections costs are fully reimbursed by applicant <br />