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TOWN OF RUTLAND <br /> DRIVEWAY PERMIT <br /> (For Access From Private Property To Town Road) <br /> Name & Address of Applicant <br /> S e rm.( gPp/c <br /> Ste" <br /> Lm-tA . <br /> S`-L &710,J tic C3 S"S)g <br /> Phone / ` <br /> Location : Aloe Side of e/ /a �7�r.e <br /> Located ?CrO) Miles/tm From r 2 aC <br /> in Section , Town of Rutland <br /> CONDITIONS <br /> Width of driveway: y Feet . <br /> Center of driveway from property line : 700 Feet . <br /> ( ) No drainage culvert needed. <br /> �)( Drainage culvert needed. Size : Length .2 fl Feet <br /> Diameter /.S Inches <br /> Other Requirements : <br /> Permit granted: 4c....,1/1.-.__- 6,f2e--; <br /> Date /()4 / <br /> Town of Rutland <br /> (1 copy - Town* ) (1 copy - Applicant) <br /> (1 copy - Dane County Zoning) <br />