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i r 1 (le 098 peva\A- <br /> TOWN OF SPRINGDALE DRIVEWAY PERMIT APPLICATION DATE: C/L0264.40. <br /> I. CONTACT INFORMATION - To be Comple by Applicant: <br /> • <br /> f4� Name and current address & u t A LL( W <br /> E.,, of applicant 1443 slit L9,2 44r4itiot 64 <br /> Current telephone number: work Co - 333-1814Z home <br /> y,,,/home <br /> Driveway location in Springdale: / 2it/J,t.L <br /> ilk Location: west east V south north side of Spec. G;q <br /> 49 tO 0 0061 -/$ 9Q <br /> c;ii � Parcel number: ©�p(�� ..30 _��� <br /> t <br /> 1. Contact Ed Eloranta, Town Chairman, #437-4692, to arrange a site visit. <br /> 2. Please bring to the site visit copies of any and all deed restrictions, <br /> . 4 sketch of Town-approved building envelopes, property agreements, etc. which <br /> could impact the location of the driveway and buildings. <br /> 3. Please attach a drawing of the driveway location discussed at the site <br /> visit and return to the Town of Springdale, 2379 Town Hall Rd. , Mt. Horeb, WI <br /> 53572 as soon as possible after the site visit. <br /> --,t <br /> II. CONDITIONS - To be completed by Town Board member or its agent: <br /> idth of single-use driveway: 12' driving surface, 14' road <br /> Width of shared driveway: 16' driving surface, 18' road bed. <br /> Maximum grade of 10%. Shared driveway agreement required: k no yes <br /> Drainage culvert needed: no yes Agricultural use only:"Lno lies <br /> If culvert required, must meet Driveway Construction Guide standards. <br /> iOther requirements: <br /> Shall comply with town private road ordinance and driveway construction <br /> ide for new driveways. <br /> 2` Shall contact Town Patrolman Davin Dahlk, at 437-3648, before starting <br /> 6 <br /> construction of the driveway. <br /> 3. No Town Building Permit or Dane County Zoning Permit shall be issued until <br /> Driveway Permit Part 1 AND Part 2 have been issued. <br /> 4. This approval is subject to conformance with the <br /> kacce44 117'i ia,-- f- cr rzy' f <br /> ******** * *********************************fir * ****** *********41� <br /> III. APPROVAL - Date Approved By Town Board: < /:Date Issued: // S"-',W6 . <br /> , � ✓ <br /> The Driveway Permit is valid for one a-' from date of approval. <br /> The Driveway Permit is pending recordation of the Certified Survey Map at <br /> Dane County Register of Deeds <br /> (iermit P-_.+:- _ Driveway Permit Part 2, Sin. = :=side;;; Duplex, Agricultural <br /> $100.0' Fee -r: Dane oun y `rosion Control 3rtandards may apply. . <br /> IF03ok6, <br />