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�tjY RES1D ENTIAL A aUILDING 6/ of-el oW►►gdale, Dane t"(Rn D) p RMIT Nanle:Rarbara Npl Appilc.AT1 Site Addr N_8�tnenWih XNFOiTION isco,►s►n �s:.1836 S $har e's ject p on: Corner t.Horeb Phone g— —prop _ o.83 ---- ROJECT LOC AxION garage 2 car detached Total S uare Foota a of new RAB: 575 s•.ft. Total Si wire Foot a_a of existin RAB on ro er Hei_hr of nenv DA,. : 1_ ,F List the existing RAB on property' less than 2000 sf _small cabin(old (detached garage, outbuilding, ( granary); summer kitchen(old corncrib); 2 car detached garage(5750); studio(288 sf); meditation locale(288x0 Use of RAB: 2 car detached arage Location of RAB is within the Town-a roved building envelo•e: Yes+E No ❑ Construction T 'e: Site Built, Manufactured 0 Foundation: Concrete a Masonry❑ Treated Wood ❑ Other AVAC: Yes D No g Electrical:Yes■ No 0 Water: Yes 0 No■ PROJECT ACCESS' Existing Driveway will provide access to the RAB: Yes XXIIV No 0 New Driveway Permit has been granted to access the RAH Yes ❑ No 1 SUPPORTING DOCUMENTS _ A complete application for a RAB permit must include the following documents, and must be submitted to the Town Building Inspector before a RAB permit will he reviewed or any related public meetings are held. ,,0 Site plan showing the location and size of the proposed RAB and all other structures on the lot,including the well and septic system.Aerial photos of lots are available from the Town Clerk. ❑ Completed Driveway Inspection Report and permit(if a new driveway is needed). ,t After approval of the RAB by the Building Inspector and the Town, the following documents must be submitted to the Town Building Inspector before the Building Permit will be issued. O County Erosion Control Plan for the building site, if required by the County. County Zoning Permit for building(if required). l G 1' O Wisconsin Administrative Building Permit Application if re aired . I agree to comply with all the applicable codes, statutes and ordinances and with the conditions of this permit; understand that the issuance of the permit creates no legal liability, express or implied, on the state or municipality. No development agreements, covenant restrictions and/or other legal documents exist which would prohibit the construction of the RAI3. I certify that all the above information is accurate. It is understood that the RAB shall not be used for living spaces, for habitation. The RAB shall not be occupied as a residence. No guest houses or apartments are allowed in the RAB. I expressly grant the building inspector, or the inspector's authorized agent, permission to enter the premises for which this permit is sou It at 1 reasonable hours and for an proper ur ose to inspect the work which is being done. Applicant's Signature 73-'--es-e-4-----71 Date Signed 343/A5--- • APPROVAL CONDITIONS: i ,04(-4.c,c. y/ /tom