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ed Gr, <br /> TOWN OF PLEASANT SPRINGS ��0 <br /> ACCESS DAMAGE DEPOSIT APPLICATION AND PERMIT nl <br /> \3;4__. <br /> FROM PRIVATE PROPERTY TO A TOWN ROAD <br /> Property Owner's Name: J3ri0 n /v ! G/-1 c/$0 n <br /> Street Address: 41/e <br /> City, State, Zip: C h A _ �3_ er Phone: ', ' I — / <br /> Parcel#046/0611-i' %-�1,�) - 9 Subdivision Lot Number <br /> The property is: Residential, Commercial,Agricultural, Manufacturing (circle one) <br /> Construction location:North/ South /West C Sick of /v✓I�l C C. rue_ <br /> (Road on which ac�jess is located)located Sick feet from <br /> 6Ka4,(1 14'q (Intersection of town/town or town/county rd) <br /> CONDITIONS <br /> YOU MUST ATTACH A DRAWING OR MAP SHOWING ACCESS LOCATION ON THE SUBJECT <br /> PROPERTY. You must specify footage from lot lines and show all existing accesses. <br /> ACCESS REQUIREMENTS: <br /> 1. All access driveways shall be an area of 8 feet or more from the center of the driveway <br /> (ATLEAST 16 FEET IN WIDTH TOTAL),with a full-width overhead clearance of 14 feet or <br /> more in height,free of encroachments, as described in WI Stat. 86.04,with an all-weather <br /> roadway of compacted road gravel, asphalt,brick or concrete,2 inches or more. (Alternative <br /> materials may be considered,but must be approved by Public Works) <br /> 2. All culverts must have end sections attached. <br /> 3. Maximum grade of access, or any portion of the access, shall be no more than 12% <br /> 4. Curves in driveway shall have an inside radius of no less than 36 feet. <br /> 5. Adequate drainage, including side ditches as necessary.Ne Purpose of Access Permit GJ I I DU52- <br /> Applicant is using existing driveway. <br /> Applicant is not required to provide a map. (Public Works Initials ) <br /> Center of driveway from property line: feet. <br /> No drainage culvert is needed. (Public Works Initials <br /> Drainage culvert Size: Length: oL feet; diameter: inches. <br /> Parking Exception Section <br /> *Please note there is no parking on Town Roads in the Town of Pleasant Springs. Unless a parking <br /> exception is indicated below, all contractors and subcontractors are prohibited from parking on Town <br /> Roads in accordance with Town Ordinance 202.Violators will be cited. <br /> An exception to Town Ordinance 202 regarding the prohibition of parking on Town roads is granted for <br /> this project. Any vehicles used for this project must be parked on the side of <br /> (street) ONLY and off the road as much as possible. (It is YOUR responsibility to ensure contractors and <br /> subcontractors are restricted to this side of the street. Violators WILL be cited) <br /> If this request is for an additional access: <br /> • Property size in acres: <br /> • Total road frontage on the road from which the proposed access would serve the parcel <br /> • Measurement between centerlines of the existing and proposed accesses in feet <br /> • Distance from the side setbacks of the property <br />