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From:Main Reception Fax:(6OB)960-4707 To: Fax: +1(608)437-6231 Page 2 of 5 10l15/2015 10:21 AM <br /> j__,_____ RES1.7777ENTLes.LACCESSORI <br /> 'B.LtUi ei,L0DaInNeGc(oRA:B)PEiRIVoinIsTinAPPLICATION <br /> Town-of S 1-___EkLi d <br /> L--------- <br /> I Owner's Name:Jason S—h—rdtc z -------------- --- ---L'-'. : -' . ' '.----j- — <br /> I____ _LL______•_:__LL',_.:LL.:_:. IRRaTECT:LOC777---- ' <br /> i Project Description: <br /> ._._ <br /> t 12'X18 storage shed gravel floor <br /> i -------------------------------------___ <br /> 1 _ <br /> Isotz---- 74.1757-f18----- ---':-.----7--------------1 <br /> LT.0 A§9 nare <br /> List the <br /> N/A existing RAB on property (detached garage,outbuildinr: —------ <br /> Use of R...0.: Stoi-a:ge of Vai'd c4re e ui ment <br /> Location of RAD is vvithin the Town-approvedb Id' - 'ope: Yes ISL-1\10-0--' <br /> Construction Type: SitTe-Tui - -,_1,_____Viantrfa.ctured 0 -- <br /> FoundAtion: Concrete if Masonry 0 Treated Wood 0 thet- GmtiL/ <br /> _ <br /> Hit7a,771'.es 0 No iR ElectricaI:Yes 0 No ESt Water: Yes 0 No tEk„ <br /> :• • ':',, - : • ' . ' <br /> _ PROjECT ACCESS ' •: . ' <br /> _ _____ <br /> . • <br /> Fisting Driveway will provide access to the RAB: Ye-, a No 0 <br /> Nev Driveway Permit has been granted to access the RAE: Yes in No 0 <br /> ' - <br /> SUPPORTING-DOCUMENTS <br /> A complete application for a RAB per-nit must include the following documents, and must be submitted to <br /> the Town Building Inspector before a RAB permit will be reviewed or any related public meetings are held. <br /> . -`V site plan showing the location and size of the proposed RAB and all other structures on the lot,including <br /> .: ,. the well and septic.system.Aerial photos of lots are available from the Town Clerk. <br /> :CI Completed Driveway Inspection Report and permit(if a new driveway is needed): <br /> N/A <br /> After approval of the RAB by the Building Inspector and the Town, the following documents must be. <br /> submitted to the Town Building inspector before the Building Permit will be issued. <br /> 0 County Erosion Control Plan for the building site, if required by the bounty. <br /> D County Zoning Permit for building if required). <br /> 0 Wisconsin Administrative Building Permit Application(if required). <br /> lagree to comply with all the applicable codes, statutes and ordinEmces—and with the condi-lion.s of this <br /> permit;understand that the issuance of the permit creates no legal liability, express or implied,on the state <br /> or municipality. No development ageements, covenant restrictions and/or other legal documents exist <br /> • which would prohibit the construction of the RAB.I certify that all the above information is accurate. It is <br /> understood that the RAB shall not be used for living spaces,for habitation. The RAB-shall not be occupied <br /> as a,residence. No guest houses or apartments are allowed in the RAB. I expressly grant the building <br /> inspector, or the inspecur, authorized agp t, permission to enter the premises foi-.;!vhich this pennit is 1, <br /> ' I sought at all reasorieNe o-I s and for an 1 cc u 'lose o inspect the work w-hich is beingdothl. <br /> •_ <br /> • ._ __ _, , _ <br /> 1 ... 0 <br /> 7:711-4-77 <br />