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, ; ,}!^ ,Dane County Department of Public Works, Highway and Transportation <br /> CONTROLLED ACCESS PERMIT <br /> t�y, <br /> This permit is required and shall be issued in accordance with the provisions of Section 83.027 of the Wisconsin Statutes and Chapter 79 of the Dane <br /> County Code of Ordinances. <br /> Co.Trunk Hwy in which access is requested: <br /> Name <br /> John L.Brown D <br /> Town,Village,City Section <br /> Street Address <br /> 1611 CTH D <br /> Town of Oregon 4 <br /> ZipState <br /> City WI 53575 <br /> Homegon Phone Work Phone Oregon Fax Number E-Mail Address <br /> (310)993-6728 Ibrownacel aolcom <br /> Existing Access? If yes,how modified? <br /> Yes ❑ Relocated ❑ Removed © Change of Use ❑ Culvert Replace ❑ Asphalt Paving <br /> Describe Use: <br /> Driveway to be used for new home access. Meets intended Use? <br /> North/South/East/West Side Nearest Cross Road Distance&Direction of nearest cross rd Existing Zoning: Ell Yes ❑ se <br /> west Netherwood Roa 2,120 Feet South RR-4 <br /> No <br /> Type of Permit Requested: <br /> ❑ $110 Temporary Controlled Access ❑ $75 Temporary Non-Controlled Access <br /> ❑ $110 Agricultural Controlled Access ❑ $75 Agricultural Non-Controlled Access <br /> ❑ $110 Residential(single family)Controlled Access ❑ $75 Residential(single family)Non-Controlled Access <br /> © $220 Residential,Joint Access>1 parcel ❑ $220 Commercial,<100 ADT*" <br /> ❑ $1,100 Private/Public,New/Existing,Street or Road ❑ $550 Commercial,>100 and<1,000 ADT <br /> ❑ $45 Miscellaneous ❑ $1,100 Commercial,>1,000 ADT <br /> **ADT denotes Average Daily Traffic. Data substantiating ADT for access or road intersections may be required. <br /> Fees paid in full on 5/12/2021 <br /> PERMIT APPROVAL BY DANE COUNTY COUNTY PERMIT NO. 21C005 <br /> The application submitted is hereby approved and this permit is issued by Dane County subject to full compliance by the Applicant with all provisions <br /> and conditions stated herein and on the reverse side hereof and all attachments hereto. <br /> Other Special Provisions: <br /> ck#1021 -This Entrance location to 1611 CTH D is approximately 2,120 ft north of Netherwood Rd. This does not change <br /> the Field Entrance that is approximately 220 ft south or approximately 1,900 ft north of Netherwood Rd. This permit is <br /> contingent on all other Local,State and/or County Agency permits,zoning and approvals and applicant must comply with all <br /> federal,state and local laws,ordinances and regulations. Permit good for one year from date of issue to complete the <br /> access. All maintenance of the driveway and culvert is owner's responsibility. <br /> •The existing 18"corrugated metal culvert pipe needs metal apron endwalls installed. <br /> -This permit allows the change from 1 parcel access to 2 parcels utilizing this single access point(see Declaration of Joint <br /> Driveway recorded document#5726394). <br /> -This access is the driveway to the home-farmstead with the farm buildings. <br /> Q .5113/2021 <br /> By /-,-�� f T vale <br /> Sig ature of Dane County Representative <br /> Kevin Eslick Associate Highway Engineer — 608-283-1486 <br /> Nnone <br /> Name and I me <br /> Page 1 of 2 <br />