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, AE [ [Y ZU �EM1 ..' � • 71:: ! '`?:.: 11::::: <br /> ° <br />• %; RE1 � TO�NHI� SEC �[ ,'� Z���^ � <br /> \ <br /> ' <br /> 880636495�O6 BLACK EARTH 36 1:::: �- . - ' I.; <br /> ******N**g****X A*k*****ir **A k.Y:*X *.***:11:X A k ':!..Ji �*:frii:: * t r!f: k 4:N.') ' 4 .*4 <br /> PROPERTY ADDRESS : 9537 CTH KP <br /> (ASSIGNMENT OF NEW ADDRE �� SL' 2:1CT '' J r1.E'-D V[ .[FI[ ='' - <br /> LOT : 4 • BLOCK : PLAT : <br /> CSMt : 6663 PARCEL AREA : NEW : X ADDN/ALT : OLD PMT t <br /> / <br /> PROPOSED USE RESIDENTIAL SINcLE FAMILY : X DUPLEX : CENSUS CODE : 101 <br /> SFR NO DECKS <br /> SEWER PUBLIC: PRIVATE : X PE 92-0097 <br /> ROAD ,. IFTCA.^�r <br /> ON : B ' <br /> ROAD RI� -WAY WIDTH : 66 <br /> • <br /> ` � - <br /> ERMI7 : - VARIANCE : - <br /> ` ' S 0A� : - ' FLOODZONE : - WETLAND : - <br /> ` • <br /> � <br /> DIMt:NSIONS -63 ��X^61 ^ STORIES : i FEET : t OF BEDROOMS : 3 <br /> SQ, FT^ AREA BSMT : 2266 1St : 2864 2ND : TOTAL : 5130 <br /> PROJECT COST : 86658 • PERMIT FEE : 230 <br /> ******************************************************************************* <br /> OWNER AND AGENT HEREBY AGREE TO COMPLY WITH ALL DANE COUNTY <br /> ORDINANCES. ANY UNAUTHORIZED CHANGE FROM THE INFORMATION OR PLANS SUBMITTED <br /> WILL INVALIDATE THE PERMIT. <br /> . • CONTRACTOR <br /> . ' <br /> ROBERT FAHEY ROBERT FAHEY <br /> `• 619CENTER ST ' 619 CENTER ST <br /> DLACK EARTH , WI 53575 BLACK EARTH , WI 53515 <br /> PHONE : 767-2822 PHONE : <br /> SIGNATURE: OWNER/AGENT ^________ <br /> ******************************»************************************************ <br /> RURAL ADDRESS t : YES POST REQUIRED : YES INSTALLED : /i6 i <br /> ISSUED : 03/16/1 992 BY : HBS REVIEWED : O��8��AOO BY /'''......---, <br /> l� - �� <br /> 1ST INSPECTION : 00/00/0OOO BY : 5-8',41 q SETBACK :~- L YD :~-- <br /> 2ND INSPECTION : O0/00/0000 BY : 3'9-94 R YD : --' REAR :'--. \ <br /> ********************************************************^********************** <br /> NOTATION : �� ^�� *o/ � ;I� <br /> .��y o� <br /> DECK IS NOT INCLUDED IN THIS PERMIT - - <br /> ^ d7 it, ' 0~,*'c~_vic.... <br /> kpo cifc�[ <br /> MINIMUM SETBACK FOR STRUCTURES� ET FROM /' ^ <br /> -- , THE CE OF THE RIGHT-OF-WAY 'DR:`42' FEET FROM <br /> `��, THE'RUHT*7OF-WAY LINE , WHICHEVER IS �R[AT[R . <br /> ' EQUIRED SETBACK FROM SEPTIC SYSTEM IS 25 FEET <br /> >- '^� FROM FIELD 5 FEET FROM TANK <br /> ^ <br /> LOCATION OF THIS BUILDING IS CRITICAL, A LOCATION <br /> SURVEY MAY BE REQUIRED TO VERIFY LOCATIONAL <br /> COMPLIANCE, <br /> THE COMBINED TOTAL OF THE SIDE YARDS MUST ' <br /> EQUAL 25 FEET AND NEITHER SIDE YARD SHALL BE <br /> LESS• THAN iO FEET. <br /> MINIMUM REARYARD IS 50 FEET . . <br /> . <br /> i <br /> ' <br /> ` <br /> A A <br />