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TONIN OF COTTAGE GROVE <br /> DRIVEWAY PERMIT <br /> (For access from private property to a town road) <br /> Name and address f I 1 <br /> of applicant ';'1 f! ( j� 'Veli 3 oil <br /> Phone <br /> Location: 1VC-A N side of �7C�S S <br /> located f miles/feet from 'J74`/C11./ ,IP' <br /> in Section '" , Town of , 4/71/:'' <br /> CONDITIONS <br /> Width of driveway: feet. <br /> Center of driveway from property line: feet. <br /> [ ] No drainage culvert needed. <br /> ] Drainage culvert needed Size: Length feet (1.1 • **1 . <br /> Diameter inches. <br /> Other requirements: <br /> 1}A ttd <br /> k I IN) ("tc.J b‘v. <br /> Permit granted: '`` " , {.-c" :V. Date ) k <br /> Town of: ' . ° Yov‹ <br /> [White copy-Town; Yellow copy-applicant; Pink copy-Dane County Zoning] <br />