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TOWN OF SPRINGDALE DRIVEWAY PERMIT APPLICATION DATE: ( (S ( ( 1 <br /> a . <br /> I. CONTACT INFORMATION - To be completed by Applicant: <br /> Name of Applicant /oel.t.4-1i - b p <br /> Current Address //O 8.' -i-- d• 4 / A4 . 1.4 ,4, _ 3S <br /> Current Telephone Number: Work 60,f-- It-19 4/-7 C Home/Cell 60�4/?k-64.47/ <br /> Driveway Location in Springdale: 4 cc.e s ,�� \-1/4,3 7 . <br /> Location: West )( East South North side of f/fv yJ Sec. 2G' <br /> Parcel Number: OSy/OHO 7- ,2 6 V{-8/5-0-o <br /> 1. Contact Mike Fagan,Town Chairman at 608-437-6230,to arrange a site visit. <br /> 2. Please bring to the site visit copies of any and all deed restrictions, sketch of town-approved <br /> building envelopes, property agreements,etc.which could impact the location of the driveway and <br /> buildings. , <br /> 3. Please attach a drawing of the driveway location discussed at the site visit and return to the Town <br /> of Springdale,2379 Town Hall Rd.,Mt.Horeb,WI 53572 as soon as possible after the site visit. <br /> II. CONDITIONS -To be completed by Town Board member or its agent: <br /> Width of single-use driveway: 12' driving surface, 14' road bed <br /> Width of shared driveway: 16' driving surface, 18' road bed <br /> Maximum grade of 10%. Shared driveway agreement required: No Yes <br /> Drainage culvert needed: No I( Yes Agricultural use only: )c No <br /> yes--Pe-r- <br /> e ���r ��� CO <br /> Ac.GesS ��,,en,- — <br /> If a culvert is required, it must meet Driveway Construction Guide standards. <br /> Other requirements: <br /> 1. Shall comply with town private road ordinance and driveway construction guide for new <br /> driveways. <br /> 2. Shall contact Town Patrolman Devin Dahlk, at 437-3648,before starting construction of the <br /> driveway. <br /> 3. No Town Building Permit or Dane County Zoning Permit shall be issued until Driveway Permit <br /> Part 1 AND Part 2 have been issued. <br /> 4. This approval is subject to conformance with the Town-approved building envelope(s) on file in <br /> the Town of Springdale Town Hall. <br /> 5. Duplicate rural numbers are required for a shared driveway. <br /> 6. A blue oval marker on the address post is required for driveways longer than 1000 feet. <br /> III. APPROVAL-Date Approved by Town Board: e-(.�I� Date Issued: ;2-0 <br /> The Driveway Permit is valid for one year from date of approval. The Driveway Permit is pending <br /> recordation of the Certified Survey Map at Dane County Register of Deeds. <br /> Permit Part 1,Driveway Permit Part 2, Single Residence,Duplex,Agricultural <br /> $100.00 Fee Reminder: Dane County Erosion Control Standards may apply. <br /> ra.: lt. (1 e.r..s e cam-- l go(1-3 <br /> , <br />