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TOWN OF BLACK EARTH <br /> PO Box 426 <br /> Black Earth, WI 53515 <br /> townofblackearthclerk@gmail.com <br /> DRIVEWAY PERMIT <br /> NAME <br /> Applicant Korey Kahl <br /> PROPERTY LOCATION <br /> Property Address 10016 US Hwy 14 (Parcel 0806-233-9501-7) <br /> PROJECT DESCRIPTION <br /> Project Type: X Private Driveway Field Road <br /> CONDITIONS OF APPROVAL <br /> GENERAL CONDITIONS: This approval is based solely upon information supplied with the <br /> Driveway Permit Application that was signed by the applicant on 3/16/21 . Any subsequent <br /> change from this information must be approved in advance by the Town Board. <br /> SPECIFIC CONDITIONS: <br /> AUTHORIZATION <br /> By my signature below, I certify that the Town of Black Earth Board has approved the Driveway <br /> Permit Application cited above on 5/4/21 with any specific conditions as noted. This <br /> application is valid for one year. <br /> Yte,Aaitie (l Zeettlew 5/6/21 <br /> Stephanie J. Zwettler Date <br /> Clerk <br />