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# ''77414W44,4. <br /> TOWN OF COTTAGE GROVE <br /> DRIVEWAY PERMIT - <br /> (For access from private property to a town road) <br /> Name and address <br /> of applicant ji/k//ed 'lie q <br /> /6575 Mra 0 Pc/ <br /> Deer GJI 5 3S / <br /> Phone ‘ 6 e6) 8 A <br /> Location: St) I f-64` side of <br /> located -300 Atilier/feet from j,/ _c.,7 _1;01)4/ 'Fr <br /> in Section 5 Town of r i;i/10-P <br /> *****.......********* ************** ************* ***** <br /> CONDITIONS <br /> Width of driveway: feet. <br /> Center of driveway from property line: feet. <br /> ) No drainage culvert needed. <br /> 7S Drainage culvert needed Size: Length feet <br /> Diameter inches. <br /> Other requirements: <br /> (;) , -- <br /> Permit granted: Date 4., - <br /> Town of: Crdi <br /> [White copy-Town; Yellow copy-applicant; Pink copy-Dane County Zoning] <br />