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TOWN OF COTTAGE GROVE <br /> DRIVEWAY PERMIT <br /> (For access from private property to a town road) <br /> Name and address <br /> of applicant <br /> F <br /> Phone <br /> Location: i 3► 1 aide of (.�)+ C QC( tC C tri <br /> • ) <br /> located miles fe from <br /> in Section I L. , Town of a Gt <br /> CaNDITIONS <br /> Width of driveway: . feet. <br /> ///,), <br /> Center of driveway from property line: " '�'efeet. <br /> [ ] No drainage culvert needed. <br /> C ] Drainage culvert needed Size: Length fest 1.el ' <br /> Diameter a\--f inches. <br /> Other requirements: <br /> Permit granted: .w'\ 'bre v( A Dat• <br /> Town of: CO 47:A ( (1; <br /> t <br /> [White copy-Town; Yellow copy-applicant; Pink copy-Dane County Zoning] <br />