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• <br /> G,,, v <br /> DAPi„COUNTY - ZONING PERMIT APPLICATION D-349 <br /> LOCATION// <br /> /9/541, k 0 LLA ti,' /joAo .S`/`'A/..0 D LE a2C s+iv <br /> NUMBER ROAD TOWN SEC /9-1 <br /> BLK SUBDIVISION NAME OR C. S. M. NUMBER C.U.P. # ZONE <br /> TYPE OF IMPROVEMENT PROPOSED USE <br /> L �1 ew building C 1 001 One family bldg C ] 013 Sery sta/garage <br /> [ ] Addition C 1 002 Two family bldg C 1 014 Hospitals/institutions <br /> C 1 Alteration C ) 003 Three/four family bldg C 1 015 Office/professional <br /> C ) Repair/replacement C 1 004 Five/more family bldg C 1 016 Public works/utility <br /> C I Moving/relocation C 1 006 Transient hotel/motel C 1 017 Schools/educational <br /> TYPE OF FRAME C ] 008 Amusement/recreational C 1 018 Stores/mercantile <br /> C 1 009 Churches/religious C 1 019 Other non-residential <br /> CierCood frame -• — • • \ C 1 020 Tanks/towers <br /> [ ) Masonry (wall bearin: • 'arking gara: ' 111•11L C 1 021 Add/alt residential <br /> [ ] Structural stee C W612 Residential garage ■ C 1 022 Add/alt non-residential <br /> C 1 Reinforced co. rete •;0,11 NO ,. ,- • -ntial, describe in detail) <br /> [ <br /> I Other <br /> SEWAGE DISPOSAL <br /> [ <br /> I Public <br /> (v1'Private S//4c,L,U o 4 LOLL $7/9 .0 <br /> Permit # /V <br /> c� 1 <br /> DIMENSIONS OWNER /7/5 !�x �z c LGt+7`H `� <br /> Long % y Wide ac) V E a !1•'"A /S f a <br /> Stories / Feet <br /> Total floor area <br /> Total lot area CONTRACTOR <br /> PARKING SPACES <br /> Required The undersigned and the owner of this building agree to conform to <br /> all .lica'le or = ces of Dane ounty. <br /> Furnished <br /> / ?// <br /> SRORELAND/FLOOD PLAIN �� �� y_ `777""" `� ly vd' 76 <br /> Permit # ignature of owne or his agent Date <br /> VARIANCE INSPECTION RECORD <br /> Permit # Front ya-d L- Right yard Left yard Rear yard L <br /> DWELLING UNA 'S (003-004) Date By/1145 Certificate issued 39- "IrBy <br /> 1 br _ Notation -4-4 .� / s2 <br /> 2 br <br /> 3 br <br /> Total • <br /> PERMIT # a(;S—F? FEE 3,00 VOUCHER OR RECEIPT #02a '16.7 DATE 161-7/ 1/27‘=, <br /> COST OF BUILDING V0. 00 Issued by Ad&sLekLAgidel&k, ____ <br />