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TOWN OF COTTAGE GROVE <br /> DRIVEWAY PERMIT <br /> (For access from private property to a town road) <br /> Name and address <br /> of applicant <br /> Phone (,E+f)`'t �'`'. ) I i <br /> ► . <br /> Location: side of ' �- '��' � 44 <br /> located miles/feet from <br /> in Section , Town of '. i 04( t it' 1C' <br /> CONDITIONS <br /> Width of driveway: feet. <br /> Center of driveway from property line: feet. <br /> [ ] No drainage culvert needed. <br /> [ ] Drainage culvert needed Size: Length feet <br /> Diameter inches. <br /> Other requirements: <br /> Permit granted: Date <br /> Town of: <br /> [White copy-Town; Yellow copy-applicant; Pink copy-Dane County Zoning] <br />