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TOWN CF COTTAGE GROVE <br /> DRIVEWAY PERMIT <br /> (For access from private property to a town road) <br /> Name and address <br /> of applicant `s !� 11Sf-c <br /> .1‘ <br /> . 4(-.?1( c- <br /> e:cj' CY' C-).-Q'):7-• <br /> Phone C-0(6, (6.4 sK,Q <br /> Location: /ceaide of IfArjfi W,:=4< <br /> 7i <br /> located miles/feet from i/—J '/ <br /> in Section_,, Town of (4.54i$2.? (27infit <br /> CONDITIONS <br /> Width of driveway: ;9 feet. <br /> Center of driveway from property line: /JD feet. <br /> [ ] No drainage culvert needed. <br /> Drainage culvert needed Size: Length 3-L1 feet 61,(1. <br /> Diameter inches. <br /> Other requirements: <br /> *I\ k,\‘'lt t( c:, re o <br /> Lô* 7 k f1/1 e t ad/C <br /> --.----S ---� Q <br /> Permit granted: �_: __�:���-- 1 j p 5 Date C) / /a <br /> Town of: . c, -c ( 1 c o c <br /> [White copy-Town; Yellow copy-applicant; Pink copy-Dane County Zoning] <br />