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Driveway Permit Fee: $50 <br /> Town of Sun Prairie Road Damage Escrow: $1500. <br /> 5556 Tit, lane Road 5 33,5- sTn a` <br /> Marshall, WI 53559 Locati��n: 1 rI 4- <br /> 5 0 N �C (R 19it 53816 <br /> l 4 of 1'4,Sec. <br /> Application to Permit to Construct a Driveway <br /> (Access from private property to a town road) <br /> REQUEST BY APPLICANT <br /> Name PtcpM I/JPJSErSE <br /> Address spas ST/xte. R 3, i ??..13(e) t. 5-35� <br /> Office phone Local phone: �b8_5.�,_76�� Fax: <br /> Plans Prepared by A�� rC,ki Copy Enclosed ,4 Yes No <br /> Location of Proposed !North,South, East,West 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 ereto and made a part thereof. <br /> By vI i, itl 'A—../Ake 6 <br /> Signature of Applicant <br /> Date ;' 0(3- 17 <br /> Permit Conditions:Completed by Public Works personnel <br /> • Width of driveway /8' p <br /> • Center of driveway from property line: 8-/D' /J7ir - wcwolifi& .Aefc <br /> • Drainage Culvert Needed x No Drainage Culvert Needed <br /> i <br /> Size: Length: a 5 r# feet <br /> Diameter /g 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. <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 H7—91 ,. stimated Completion Date q, <br /> Notify the Town Office at 837-6688 when project is completed. <br />