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Permit Approval by Permitting Authority <br /> The foregoing application is hereby approved and permit issued by the Permitting Authority subject to full compliance <br /> by the Applicant v.ith all pro\isions and conditions stated herein and all attachments hereto. <br /> Federal Aid has been.or is being. used on this highway;current State of Wisconsin policy for accommodation <br /> of utilities on highoAay rights-of-way applies. <br /> 51330.Permit fee applies(escro‘A, 51300. for road damage that may occur;returnable to Applicant if no <br /> damages occur); (550. for the siting fee; non returnable) <br /> Other Special Prol.isions: <br /> k-- <br /> 1. -' i <br /> �___ Title <br /> 41/45(1141)iltitj <br /> Sig. re of Authorized Permitting Authority Representative JdU <br /> Date g `d <br /> ` <br /> Title <br /> Signature of Authorized Permitting Authority Representative <br /> Date <br /> 3. <br /> Title <br /> Signature of Authorized Permitting Authority Representative <br /> Date <br /> Driveway Permit Receipt /I <br /> Name A 1l AK. (-jE-"s-1,-)5 ,. <br /> Address _5132-c- <br /> yk ,e_b <br /> 5. P <br /> Building Address Site 0K <br /> Phone (home) ,5P- '1 la i R (work) <br /> Amount escrowed $ p VD , <br /> Administrative/Inspection fee $ Ft) . — <br /> Repair of Road Damage $ <br /> Amount Returned $ <br /> Return of Escrowed Fee $ <br /> Occupancy Permit issued on by <br /> Administrative'Inspection fee $ <br /> Repair of Road Damage $ <br /> Amount Returned $ <br /> Business Office Signature _, i _ i,j)---Bute (31 Z.1)/ 7 <br /> Copy forapptica4 Co.y for office <br />