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Aug. 9. 2016 3:20PM Ivo. itU't r. <br /> Dane County Department of Public Works, Highway and Transportation <br /> ACCESS PERMIT <br /> / -J? <br /> This permit is required and shat be issued in accordance with the provisions of Section 83.027 of the Wisconsin Statutes and Chapter 79 of the Dane <br /> County Code of Ordinances. <br /> Name Co.Trunk Hwy in which access is requested: <br /> Russell BaIlWeg • KP <br /> Street Address Town,Village,City Section <br /> 6556 County Highway KP Town of Roxbury 34 <br /> City State Zip <br /> Mazomanie , WI 53560 . <br /> Home Phone Work Phone Fax Number HVlail Address <br /> 5608)643-8235- (608)963-6254 russmargieballweg@gmall.com <br /> Existing Access? If yes,how modified? <br /> Yes 0 Relocated ❑ Removed ❑ Change of Use • ❑ Culvert Replace .0 Asphalt Paving <br /> Describe Use: <br /> Joint use <br /> • orfh/Soufh/EasUWest Side Nearest Cross Road Distance&Direction of nearest cross rd Existing Zonr'ng: Meets intended Use? <br /> East • Katzenbuechel R Access to be located 415 feet sout A-1 Ex [i] yes • No <br /> Type ot'PPi'rnit Requested: <br /> • ❑ $110 Temporary Controlled Access • ❑ $75 Temporary Non-Controlled Access <br /> • <br /> ❑ $110 Agricultural Controlled Access ❑ $75 Agricultural Non-Controlled Access <br /> ❑ $110 Residential(single family)Controlled Access ❑ $75 Residential(single family) Non-Controlled Access <br /> RI $220 Residential,Joint Access>1 parcel ❑ $220 Commercial,<100 ADT" <br /> ❑ $1,100 Private/Public,New/bdsting,Street or Road ❑ $550 Commercial,>1000 and<1,000 ADT <br /> ❑ $46 Miscellaneous ❑ $1,100 Commercial,>1,000 ADT <br /> "ADT denotes Average Daly Traffic. Data substanUafing ADT for access or road Intersections may be required. <br /> Fees paid in full on 0/118/2016 <br /> PERMIT APPROVAL BY DANE COUNTY COUNTY PERMIT NO. 16A001 <br /> The application submitted is hereby approved and this permit is Issued by Dane County subject to full compliance by the Applicant with all provisions <br /> and conditions stated herein and on the reverse side hereof and all attachments hereto. <br /> Other Special Provisions:. <br /> This permit Is contingent on all other Local;State and/or County Agency permits,zoning and approvals and applicant must <br /> comply with all federal,state and local laws,ordinances and regulations. Existing access located 540 feet south of <br /> Katzenbuechel Road to be removed and relocated to be a Joint access at the new location. Permit 16A-001 revised to correct <br /> access location to south of Katzenbuechel Road(GAP 1/26/16) . <br /> The access must be graded to drain away from the edge of road for a minimlm of 8'. Install 18-inch diameter culvert 30'long <br /> with approved metal apron endwalls. <br /> Check#7430 <br /> /� ' <br /> / 01/22/2016 <br /> By <br /> J �' <br /> S• = of sane County Representative V w Date <br /> Gr •gar Petersen Highway Engineer 608-266-9081 <br /> Name and Title Phone <br /> • <br /> Page 1 of 2 <br /> • <br />