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TOWN OF DUNN PARCEL #: 28-0610- /),/ - Lila-7 <br /> DRIVEWAY CON, TRUCTION PERMIT APPLICATION <br /> PERMIT #: <br /> SFN 1-SITE VERIFICATION <br /> Applicant Name: Sfe-2a v Su.) cx_r& 7. t , ,' L 1 e_r Date: 3 - 6 e <br /> Address: 43 3 Pre-C__0 ik_Yj C. L S+. Phone#:. 4-11-4-,64-1 5 <br /> Purpose: ,Residential 0 Field Road Access ❑ Other - <br /> (Bldg.site verification not required) / <br /> Property Owner's Name: 3 ' Vn C <br /> Proposed Driveway Location: .5 & frn S K/,5 I n u <br /> Driveway will provide access to: 0 US/Co. Hwy Permit# XTown Rd. ❑ Private Rd. <br /> Does property owner own proposed driveway road frontage?,''yes ❑ no (If no,attach copy of easement.) <br /> ®" a Vf "7` r6atti <br /> r -1 � `3£.� <br /> --, -.0 ® ". 31r? <br /> SECTION 2 -SUBMITTAL REQUIREMENTS& CONSTRUCTION COMMENCEMENT APPROVAL <br /> Driveway Construction Permit Application must include the following checked information: <br /> Diagram Showing: Other: <br /> ❑ Property slopes. ❑ Copy of any required Dane Co. erosion control plan. <br /> ❑ Driveway slope. ❑ Other <br /> ❑ Driveway turnaround. <br /> ❑ Location&structure of retaining walls. <br /> ❑ Length,width&radius of driveway curves. <br /> ❑ Driveway cross section showing depth&fill material. <br /> Drainage culvert, O9)4 ft.length, / in.diameter. <br /> ❑ Driveway relationship to property lines,structures&roads. Center of driveway feet from <br /> The undersign-. applicant as owner,or as owner's agent,does hereby attest that all the information provided is true and <br /> accurate and`r es hereby 0.0-e to construct the described work in accordance with the plans and specifications filed. <br /> 11/41 -'4.4-0 <br /> Signature of Applicant <br /> DR atqtl e <br /> s --i i.kj 9 G.B e t 9 6 E s � i fle. A Cif <br /> �" 41 ,:�4, ead66��4r�0` „ . <br /> � $$ <br /> �{.. .�.=ar, _.., ,i.�:. >. <:�>m..S� ... � <br /> SECTION 3 - FIN• L AROVAL p`-, <br /> O The Town of Dunn has inspected the above field road and determination has been made that it meets <br /> the Town's minimum standards. The field road is authorized for agricultural use. <br /> 0 The Town of Dunn has inspected the above driveway and determination has been made that the <br /> driveway meets the Town's minimum standards. The Dane County Zoning Office is hereby authorized <br /> to issue a building permit this day of <br /> Signature of Public Works Foreman <br /> White- Town Yellow-Applicant Pink-Dane Co. Zoning <br /> • <br /> n <br /> &eOa 9 <br />