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Dane County Department of Public Works, Highway and Transportation fir#v ACCESS PERMIT This permit is required and shall be issued in accordance with the provisions of Section 83.027 of the Wisconsin Statutes and Chapter 79 of the Dane County Code of Ordinances. Name Co.Trunk Hwy in which access is requested: Robert A Switzky A Street Address Town,Village,City Section 2191 Sugar River Road Town of Oregon 22 City State Zip Verona WI 53593 Home Phone Work Phone Fax Number E-Mail Address (608)770-9606 (608)848-3394 swit @chorus.net Existing Access? If yes,how modified? Yes © Relocated ❑ Removed ❑ Change of Use ❑ Culvert Replace ❑ Asphalt Paving Describe Use: Single Family Residential North/South/East/West Side Nearest Cross Road Distance&Direction of nearest cross rd Existing Zoning: Meets Intended Use? South Hillcrest Lane 3,100 feet east A-1 EX p Yes ❑ No Type of Permit Requested: ❑ $110 Temporary Controlled Access ❑ $75 Temporary Non-Controlled Access ❑ $110 Agricultural Controlled Access ❑ $75 Agricultural Non-Controlled Access ❑ $110 Residential (single family)Controlled Access 0 $75 Residential (single family) Non-Controlled Access ❑ $220 Residential,Joint Access>1 parcel ❑ $220 Commercial,<100 ADT** ❑ $1,100 Private/Public, New/Existing,Street or Road ❑ $550 Commercial,>1000 and<1,000 ADT ❑ $45 Miscellaneous ❑ $1,100 Commercial,>1,000 ADT 'ADT denotes Average Daily Traffic. Data substantiating ADT for access or road intersections may be required. Fees paid in full on 6/9/2014 PERMIT APPROVAL BY DANE COUNTY COUNTY PERMIT NO. 14A020 The application submitted is hereby approved and this permit is issued by Dane County subject to full compliance by the Applicant with all provisions and conditions stated herein and on the reverse side hereof and all attachments hereto. Other Special Provisions: This permit is contingent on all other Local,State and/or County Agency permits,zoning and approvals and applicant must comply with all federal,state and local laws,ordinances and regulations. The new access is to be relocated to a point 3,100'east of Hillside Rd and the existing access point located approximately 2,800'east of Hillside is to be removed as a condition of the permit. The driveway shall be constructed to drain away from the edge of road for a minimum of 8'. An 18"(21"x 15"equivalent)diameter culvert 30 feet long with two approved metal end sections is required. Traffic control shall be as per the MUTCD. Check#6304 �' 6/16/2014 By / • AWI ture of Dane Coun • -epresentative Date - reggar Petersen Highway Engineer 608-266-9081 Name and Title Phone Page 1 of 2