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06/04/2008 WED 13:36 FAX 608+223+9465 Advantage Freight Sys. X001/002 <br /> TOWN OF PLEASANT SPRINGS <br /> '� ' ►� ACCESS DAMAGE DEPOSIT APPLICATION AND PERMIT <br /> 0 FROM PRIVATE PROPERTY TO A TOWN ROAD <br /> (Y. <br /> Name Of Applicant , •j.t_ Dt t, .e ‘,'At q Street Address: _442 of? kiln r t,•S. Pm..kV iR of. <br /> City,State,Zip: /Q " r V Phone: g3. - 4/0 - <br /> Property Owner Name(if different from Applicant): <br /> Street Address: <br /> City,State,Zip: Phone: — - <br /> This property is: esidenti: )commercial agricultural manufacturing <br /> Parcel#046/0611-21a- $k/10- d Subdivision Lot Number <br /> ?) <br /> Construction location: North/South/East ert Side ofs ,-,'pi G /Pock d (? 7 <br /> located ( w i located) <br /> �3 `S feet from �l <br /> (Intctscctidn of town/town or town/county rd) <br /> in Section 7 ,Town of Pleasant Springs. <br /> CONDITIONS <br /> ATTACH A DRAWING OR MAP SHOWING ACCESS LOCATION ON THE <br /> SUBJECT PROPERTY. You must specify footage from lot lines and show all existing -0- <br /> accesses. A ft (,l $ 9 .x 0 S / ' '6`'`f <br /> All access driveways to all residential,commercial,and manufacturing sh'q'• ", , <br /> properties shall be no less than 24 feet in width from the town road through .54'''t t cif.'v - <br /> the entire length of the road right of aytoJ3m_p Wa-k pGe- <br /> Center-of driveway from property line: feet. <br /> No drainage culvert needed. <br /> Drainage culvert Size: Length: feet; diameter: inches. <br /> All culverts must have end sections attached. [Section l I.09(7)(B)of the Municipal Code) <br /> If this request is for an additional access: <br /> • Property size in acres: <br /> • Total road frontage on the road from which the proposed access would serve the <br /> parcel <br /> • Measurement between centerlines of the existing and proposed accesses in feet <br /> • Distance from the side setbacks of the property <br /> • Zoning classification of the subject property <br /> Number of feet from intersections of any town/town or town/county <br /> roads: <br /> Other requirements: <br /> 1. Finished accesses must remain at, or below, the grade of the roadway edge for a <br /> minimum of ten feet. <br /> 2 Access-base-shatrbelrfulaceprior to t a fconstnZ__i � t les=e to <br /> CASharcd\Word files\ROADS\Documentalaccess permit revised)unc 2007.doc <br />