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A <br /> Dane County Department of Public Works, Highway and Transportation <br /> . ACCESS PERMIT <br /> P,,39 <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 /> Name Co.Trunk Hwy in which access is requested: <br /> Chad Herbrand BB <br /> Street Address Town,Village,City Section <br /> 131 CTH BB Town of Deerfield 12 <br /> City State Zip <br /> Marshall WI <br /> Home Phone Work Phone Fax Number E-Mail Address <br /> (608) 575-8424 <br /> Existing Access? If yes, how modified? <br /> Yes ❑ Relocated ❑ Removed 0 Change of Use ❑ Culvert Replace ❑ Asphalt Paving <br /> Describe Use: <br /> from farm to LC CG12/ 11005 Sim«' ffr ii-y h`orgiG- USF, <br /> North/South/East/West Side Nearest Cross Road Distance&Direction of nearest cross rd Existing Zoning: Meets Intended Use? <br /> south CTH 0 3100'west LC 0 Yes ❑ 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 , 0$75 Residential (single family) Non-Controlled Access <br /> ❑ $220 Residential,Joint Access> 1 parcel V $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 4/19/2021 <br /> PERMIT APPROVAL BY DANE COUNTY COUNTY PERMIT NO. 21A013 <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 /> Check#2894. This permit is contingent on all other local,state,and/or County Agency permits,zoning and approvals and <br /> applicant must comply with all federal,state,and local laws, ordinances and regulations. Permit good for one year from date <br /> of issue to complete the access. All maintenance of the driveway and culvert is owner's responsibility. <br /> An 18"culvert pipe with metal apron endwalls is required. See attached culvert selection chart for rural and private field <br /> entrances for culvert and grading requirements. <br /> Regular mowing between the edge of pavement and right-of-way line east of the access for 700'+/-to prevent vegetation <br /> from interfering with sightlines. <br /> * 6/16/21 This Revision allows a Single Family Home to share the 5/6/21 permitted Commercial <100 ADT access. <br /> 0,-- .-- )16/202`f- 6//‘/2oZi <br /> By � <br /> Signa ure of Dane County Representative Date <br /> Kevin Eslick Associate Highway Engineer 608-283-1486 <br /> Name and Title Phone <br /> Page 1 of 2 <br />