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APPLICATION FOR PERMIT DANE COUNTY, WISCONSIN TO THE ZONING SUPERVISOR OF DANE COUNTY The undersigned hereby.applies for a permit to authorize the construction described in detail be- low. The undersigned declares that all statements made in this application are true. LAND NE4 NEq Section No. 29 or Lot No. Block Bristol Subdivision Town of Recorded: Vol. Page--- Highway or Street - Front, Width 66' Class B - Side, Width Class District A-1 Highway or Street CTH N of or Parcel is 165 feet wide by 380.6 feet deep BUILDING Construction New Use Church BUILDING , S'ZE LOCATION ON LCT SETBACK SIDE YARDS REAR WIDTH DEPTH HEIGHT HEIGHT From Center Fro:n Front YARD Feet Feet Feet Stories of Rigaiwav Lot Line Right left Addition 10 9 iii - - 33 - - Type of Construction Franee Approximate Cost or Expenditure $ 1,500 Ether Details Bristol Lutheran Church Owner of Applicant Address Bristol, Wis Date September 29 19 70 Signed (Owner) (I40licant) (Agent) DENIAL OF PERMIT Permission for the construction above described is hereby denied for the following reason(s): setback is less than required by the Dane County Zoning Ordinance Date September 29, 1970 Signed- ls . zonin_ Subervisor BOARD OF ADJUSTMENT ACTION Date of Hearing, October 16 1970 October 10 Date of Inspection 19 70 Date of Action October 16 70 variance granted 19 Decision NOTE TO APPLICANT Permission for the above described construction having been denied for the reason or reasons given, appeal may be taken to the Board of Adjustment by filing a written appeal on forms to be fur- nished by the Zoning Supervisor, such appeal to set forth the reasons why the constr..,;tion should be allowed and accompanied by a map or plat showing pertinent information.