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- \ �1 <br /> TOWN OF SPRINGDALE DRIVEWAY PERMIT APPLICATION DATE: �`( 5 /1 <br /> I.CONTACT INFORMATION-To be completed by Applicant: <br /> Name of Applicant Vv t L-`-- iev \ <br /> Current Address c..4/ eD S' 3 3S 7 <br /> zz 11�� <br /> Current Telephone Number: WorkC©�lyJ)`� 1!�' 1iome/Cell <br /> Driveway Location in Springdale: <br /> Location: West East South North side of e3 Sec. <br /> Parcel Number: OS—tf- OHO Q-1 - 0 `(j - 'Z0 —� <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. 1, <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 Yes Agricultural use only: No Yes <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: //1-Date Issued: /0//0 7 <br /> The Driveway Permit is valid for one year from date of approval. The Driveway Permit is pending <br /> •j recordation of the Certified Survey Map at Dane County Register of Deeds. <br /> Permit Part 1,Dilvevray Permit Part 2,Single Residence,Duplex,Agricultural <br /> S100.00 Fee s Reminder: Dane County Erosion Control Standards may apply. <br />