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TOWN OF RUTLAND DRIVEWAY PERMIT <br /> (For Access From Private Property To Town Road) <br /> Name & Address of Applicant <br /> L I rY1 c7 -�'vl� W 1 LS d e.3 <br /> 967 sTvic_ c <br /> Phone 6 os--G 9,c• A► <br /> Location: .:-0154- Side of ( ,L-e, X701 <br /> Located )/C( i /Feet From Cry 4- <br /> in Section , Town of Rutland <br /> ************************************************************ <br /> CONDITIONS <br /> Width of driveway: 02q Feet. <br /> Center of driveway from property line: Po Feet. <br /> ( ) No drainage culvert needed. <br /> (AC) Drainage culvert needed. Size: Length 4 Feet <br /> Diameter JInches <br /> Other Requirements: <br /> Permit granted: „ Date g/ `7 <br /> -/G--� <br /> Town of Rutland <br /> (1 copy - Town*) (1 copy - Applicant) (1 copy - Dane County <br /> Zoning) <br />