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TOWN OF MEDINA <br /> Jean Johnson,Clerk <br /> : E. NateNo.o Rnad <br /> DRIVEWAY APPLICATION %taterkw,N) 53j9; <br /> ...---- Date ••-St,Name v - -4" .a. <br /> / Phone G`r- �6 y 131'3- <br /> is Address ~1 > > !{1 <br /> Applicants �. 5 3 S S <br /> fit ,,t<,:. <br /> Property Ownees Address <br /> Address of proposed driveway <br /> Section__-Quarter/Quarter 5w� <br /> 14Proposed Use ` • .'s • ) <br /> Town Rd �� ' <br /> The driveway�xill provide access to STHT�CTH-�— v <br /> Specify erosion control procedures to be utilized t Z_iy 'f, U\i/. <br /> including depth and type of material �� �y`� ��� <br /> Specify proposed roadbed base, C /I"-l`OC� • <br /> Ordinance <br /> for driveway construction are specified in the Town of Medina Driveway <br /> after <br /> Ordinance and these specificatio�r�inance for the for <br /> compiete driveways <br /> pec specifications. Partial <br /> May 3, 2000. Please refer to this <br /> - <br /> specifications are: <br /> `' inimum road surface 12 feet <br /> , tiin.imum height clearance 18 feet <br /> Maximum slope at road. <br /> 5% <br /> Culverts as specified by inspection minimum 18" when <br /> the junquire <br /> ✓ of the driveway and the public <br /> A minimum 300 foot sight clearance is required <br /> r (see ordinance). lane 20 feet in width and 35 in <br /> or every 300 feet in length the driveway must to have a passing accommodate emergency vehicles. <br /> length and an adequate turn around at the and , <br /> lieation. Upon final approval of the <br /> An application fee of S500 must be submitted with this lipa t in the amount of the application fee <br /> driveway by the Town a refund will be made to the aPP plus any penalties. <br /> less X00 for each required inspection(minimum of two) p <br /> `s yp-O° slo .w d <br /> idth and length of driveway <br /> ••• Provide a sketch of proposed driveway including grade, Pe rive <br /> and indicated til`rnoffs if required, and the dead end turnaround on the back of this application <br /> Signature of applicant • ' <br /> .'t <br />