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TOWN OF DUNN PARCEL # : 2.8-0610- 30 $ <br /> DRIVEWAY CONSTRUCTION PERMIT APPLICATION PERMIT.. . <br /> #: ` <br /> SECTION 1-SITE VERIFICATION <br /> _ _ <br /> Applicant ,,.� , — <br /> Name: - ;> - <br /> Address: <br /> Purpose: Residential G Field Road Access 11 Other <br /> (Bldg. site verification not required) <br /> Property Owner's Name: ';, \-; t � `_; <br /> Proposed Driveway Location: iPt t v--,-k- k.,- -„ , <br /> Driveway will provide access to: Li US/Co. Hwy Permit # Atiown Rd. LI Private Rd. <br /> Does property owner own proposed driveway road fioiitaf e'' I k yes [1 no (If no, attach copy of easement.) <br /> Bldg.Site Verification 3 Date Comments -- -- __� <br /> g I <br /> L._..w._ _1 e5-1,20 t--;---it .1._!. I <br /> SECTION 2 -SUBMITTAL REQUIREMENTS& CONS!RUCTION COMMENCEMENT APPROVAL <br /> Driveway Construction Permit Application must include the following checked information: <br /> Diagram Showing: Other: <br /> LI Property slopes. LI Copy of any required Dane.Co. erosion control plan. <br /> ❑ Driveway slope. n Other <br /> • <br /> El, Driveway turnaround. <br /> Location&structure of retaining walls. <br /> ❑ Length,width&radius of driveway curves. <br /> ' .' Driveway cross section showing depth& fill material. �/ <br /> I Drainage culvert,_ / ft. length, i� in. diameter.60/l�/{//t 1 6 <br /> L-1 Driveway relationship to property lines, structures&roads. Center of driveway feet from <br /> The undersigned applicant as owner,or as owner's agent,does hereby attest that all the information provided is true and <br /> accurate and dogs hereby agrpf-tea construct the described work in accordance with the plans and specifications filed <br /> {;m>0., <br /> Signature of Applicant <br /> Date <br /> Public Wor s f orc�rnan I i l --' --_ - <br /> struction Approval i Dat( Kruilt Issuedl <br /> � � e E Permit Fee <br /> r 1 t �, ,:,,c, <br /> ti-- . - � —__ it- . 1 I r ' <br /> i <br /> SECTION 3 - FINAL APPROVAL <br /> 1 The Town of Dunn has inspected the above field road and determination has been made that it meets <br /> the Town's minimum standards. The field road is authorized for agricultural use. <br /> LI The Town of Dunn has inspected the above driveway and determination has been made that the <br /> driveway meets the Town's minimum standards. The Dane County Zoning Office is hereby authorized <br /> to issue a building permit this day of <br /> Signature of Public Works Foreman <br /> White-Town Yellow - Applicant Pink - Dane Co. Zoning <br /> krQm b 5zcS@yi,,1 . zos ,�, -- , �,- CVO g-tT'/> <br />