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Town of Burke <br /> Driveway Permit Application <br /> (Access from private property to a town road) <br /> NAME OF APPLICANT: Zachary and Danielle Zilm <br /> ADDRESS OF APPLICANT: 4129 Dwight Dr <br /> Madison wi 53704 <br /> PHONE NUMBER: (608)698-9024 or(608)886-6524 <br /> PROPERTY OWNER: Zachary and Danielle Zilm <br /> LOCATION OF PROPOSED ACCESS: <br /> Lot# 1 Subdivision Lot 1 Lothe Woods,Town of Burke Street Pond Road <br /> XtadilLikAttOrtn,West side of Pond Road <br /> Town of Burke,Dane County,Wisconsin <br /> Parcel#0141081010441018 <br /> ****** ****************************************************************** <br /> PERMIT CONDITIONS <br /> (To be completed by Town Personnel) <br /> Driveway is 24 feet wide. I request a variance of feet <br /> All culverts are to be 24 feet long. Diameter is 18 inch arch with end walls(wings). <br /> { } No drainage culvert needed <br /> { } Variance from size needed. <br /> Other Requirements: <br /> All construction equipment must use this entrance to access lot. Culverts are to be <br /> completely installed prior to final inspection and approval by highway personnel. <br /> I acknowledge eceipt of attached Ordinance and agree to follow all terms. <br /> Date: L' oRY 1 <br /> Applicant signature // <br /> Permit granted: 12v't K cv " Date: 4/` '2417 <br /> (Town Official/Designee Signature) <br />