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■ <br /> 'DANE COUNTY - ZONING PERMIT APPLICATION <br /> LCC ATION V D-349 <br /> _ <br /> ---� -J' A 11/1 II S_:"CI_ /►! /L C-0 ) ° �--�-+ <br /> NUMBER ROAD 7T L �r J�t <br /> TOWN SEC 34 34 <br /> n <br /> ma(2 i. &A )c7 <br /> LOT BLK SUBDIVISION NAME OR C. S. M. NUMBER <br /> C.U.P. # ZONE <br /> TYPE OF IMPROVEMENT PROPOSED USE <br /> I0- ew building [ 1 One family bldg [ 3 013 Sery sta/garage <br /> [ 3 Addition C 3 002 Two family bldg C ] 014 Hospitals/institutions <br /> [ 3 Alteration C 3 003 Three/four family bldg C ] 015 Office/professional <br /> C ] Repair/replacement [ ] 004 Five/more family bldg ks/works/Utility <br /> C ] 006 Transient hotel/motel C ] 016 Schools/educational <br /> weducationaly <br /> C ) Moving/relocation relocation [ ] 017 Schools/educational <br /> TYPE OF FRAME C 3 008 Amusement/recreational [ ] 018 Stores/mercantile <br /> C 3 009 Churches/religious [ ] 019 Other non-residential <br /> II-T.-Wood frame I 3 010 Industrial bldg C 3 020 Tanks/towers <br /> C 3 Masonry (wall bearing) [ ] 011 Parking garage <br /> [ ] 021 Add/alt residential <br /> C ] Structural steel <br /> [ ] 012 Residential garage [ ] 022 Add/alt non-residential <br /> [ ] Reinforced concrete <br /> C 3 Other PROPOSED USE (If non-residential, describe in detail) <br /> SEWAGE DISPOSAL <br /> C 3 Public <br /> C L]'Private <br /> 1 ) 17 � s <__ him �7 y` <br /> Permit # �� <br /> !S <br /> DIMENSIONSi OWNER ? 3 .i,5 z c.-7 (.,:-; _ ah. <br /> Long 641 Wide ..� - //I 0/50 ,1! <br /> Stories , _ Feet <br /> Total floor area L- <br /> Total lot area CONTRACTOR <br /> PARKING SPACES <br /> Required _ The undersigned and the owner of this buildin g agree to conform to <br /> Furnished <br /> all---applicable ordinances of Dane County. <br /> 3HORELAND/FLOOD PLAIN _ <br /> Permit # Si ture of caner or his agent ` `r <br /> Date <br /> /ARIANCE INSPECTION RECORD <br /> =ermit # Front yard and Right g yard / (:, Left yard la Rear yard cr <br />)WELLING UNITS (003-004) 2a_t_e___Lzyr -2.2 '--"'--' <br /> BY !� Certificate issued ? 2S---/,)$- By ,�i <br /> br <br /> Notation <br />'_ br <br /> i br <br />'otal <br /> Affelgiaffiffniligingfraff .'. , - <br />'ERMIT # •-). P3-77/ YEE T 3,C)C--/ VOUCHER OR RECEIPT # C1ti 7.t i Y <br /> �1 �" DATE r G��, •7'7 <br /> OST OF BUILDING (p/ QC7(-' Issued by J` .4 i, , <br /> I� nC U/S�� vim,` <br /> od <br />