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WO H — Dis — 20 Z1 <br /> Driveway/Culvert Permit 7555 W. Old Sauk Road <br /> Verona,WI 53593-9700 <br /> Phone: 608-833-5887 <br /> Town of MiddletonFax: 608-833-8996 <br /> Info@town.middieton.wi.us <br /> Last Updated: 05/17/21 <br /> Part A: (To be Completed by Applicant and submitted to Town) <br /> Builder's Name: Tim O'Brien Homes <br /> Builder's Address: 2601 Crossroads Dr,Ste 140,Madison,WI 53718 <br /> Builder's Phone: 608-661-1100 Builder's Email: clevy@tobhomes.com (TOH Rep) <br /> Property Owner's Signature:C Date`"�' Date 06/08/21 <br /> Property Owner's Name: Tim O'Brien Homes <br /> Property Owner's Address: 2601 Crossroads Dr,Ste 140,Madison,WI 53718 <br /> Property Owner's Phone: 608-661-1100 Property Owner's Email: clevy@tobhomes.com (TOH Rep) <br /> Lot or Parcel Description: Street Address: TBD Colonial way <br /> Plat Name/CSM/Lot Number: 60 Parcel Number: 038/0708-301-6060-0 <br /> Metes and Bounds: <br /> Driveway Details: <br /> X Sketch Attached (Sketch must include the spot elevations at roadway tie in,low point of driveway, 20'from edge of <br /> pavement and proposed garage elevation. Sketch must be in plan view and show the relative location of proposed <br /> home and driveway within the property. The sketch must include driveway dimensions or have a proper scale.See <br /> example attached. <br /> Driveway Length(Measured from edge of street pavement to face of residential/commercial structure): 787" <br /> Check All That Apply: <br /> Driveway Enhancement(i.e.grade changes,additional pavement) <br /> X New Driveway Long and/or Shared Driveway <br /> Asphalt Surface X Concrete Surface Gravel Surface <br /> Other Information: <br />