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TOWN OF ROXBURY DRIVE PERMIT APPLICATION <br /> SEE DRIVEWAY ORDINANCE 2001-A <br /> APPLICANT <br /> Name lq l et 111. r ja/-e , ,F <br /> Address _ v 7 (.5> 1. -e -' iit w y /36.-' ' vv ,' 5 Pty /"S <br /> / <br /> Telephone Day (''OS- ?jai-� Business Evening <br /> LOCATION <br /> l—c.--! re'V l C( - St, eet, Road, Higluacay..etc. W of (� kei <br /> (N� ) y s ��e Road located <br /> �` �- / <br /> (NSEW) from Road in the /V ) quarter of the 5 L quarter in Section . In the Town of <br /> Roxbury. Plat . CSM# . <br /> REQUIREMENTS <br /> Centerline of driveway to be 30 feet ( E60 of the (NSIO from property line. Surface width of <br /> driveway to be a minimum of l feet, with a foot sub grade. <br /> Culvert: Length 3 O feet . Diameter 1 Inches, with Wisconsin DOT end walls. <br /> No culvert required . Engineer's plan required (yes) (No) <br /> CONDITIONS <br /> You are required to contact the Town Engineer(MEI) at 608-643-5329 a least two working days before <br /> starting construction. Refer to Roxbury Permit Ordinance 2001-A for constructions specifications. Contact <br /> MEI if you have specific driveway construction questions. Upon completion, notify the Town Engineer within <br /> 30 days to schedule a driveway inspection. This permit expires one year after the date approved by Town Board. <br /> If construction is not completed within one year of issue, the applicant must apply for a renewal permit. <br /> APPLICATION FEE, PERFORMANCE BOND &ENGINEERING/INSPECTION COSTS <br /> The application fee to construct or relocate a driveway is $250.00,payable to the Town of Roxbury at time of <br /> approval. A performance bond of at least $2.500.00 for the first two hundred fifty feet. Plus ten dollars per foot <br /> for driveways over two hundred fifty feet. Is also due in form of check made payable to the Town of Roxbury. <br /> The bond amount will be returned after the Town Engineer inspects& approves the finished driveway and all <br /> Town Engineering& inspections costs are fully reimbursed by applicant <br />