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Town of Sun Prairie Driveway Permit Fee: $50 <br /> Road Damage Escrow: $1500. <br /> 5556 Twin lane Road j l <br /> Marshall.WI 53559 Location: j'j' __ P G--�--1 <br /> l 4 of I'4, Sec. <br /> Application to Permit to Construct a Driveway <br /> (Access from private property to a town road) <br /> REQUEST BY APPLICANT�--- <br /> Name C Wj+4l(\T71-- <br /> Address ;{(b t), /I.r` 000 )-40 S _FIVA <br /> Office phone Local phone: W)S • ,�` 2,Fp�c: <br /> Plans Prepared by ^- 1-c<; ) Copy Enclosed ✓S'es No <br /> Location of Proposed North,South,East,\Vest Side of Road <br /> Access: <br /> Section# Feet'Miles from <br /> The applicant understands and agrees that the permitted work shall comply with all permit provisions and conditions <br /> listed on the reverse side hereof,any special provisions listed below or attached hereof,and any and all plans,details or <br /> notes attached hereto and made a part thereof. <br /> By • , Title CE-4 • <br /> 11117"rture of Applicant <br /> Date 3-27 - / 7 <br /> Permit Conditions:Completed by Public Works personnel <br /> • Width of driveway 111- <br /> • Center of driveway from property line: 35— F-/- <br /> • Drainage Culvert Needed / No Drainage Culvert Needed ` l <br /> Size: Length: �` feet .v) iArk. GJ✓ tL411-6 <br /> Diameter inches <br /> All Culverts are to have ends <br /> Other All construction equipment must use this entrance to access lot.All Culverts must have ends <br /> (wings).Culverts are to be completely installed prior to final inspection and approval by public <br /> Requirements: works personnel. C, <br /> No construction materials are allowed in the public roadway.Dumping of landscaping <br /> materials(mulch,stone,topsoil,etc.)on the road will cancel the return of the$1,500 escrow. <br /> Estimated Starting Date f4.., I, , Estimated Completion Date _ I <br /> Notify the Town Office at 837-6688 when project is completed. <br /> DRWAY Permit Procedure.doc Rev 4 16 15 4 <br />