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I . . . <br /> • <br /> DANE COUNTY — ZONING PERMIT APPLICATION 0-349 <br /> LOCATION -;� • <br /> /l /.` /l� /L'IS !'2 , ..‹.I v/V Al..,_AS/1 NT `'f'i A/4-__s ....6Z -c.,./✓`•fre/ <br /> NUMBER ROAD TOWN SEC '% u <br /> d S,r / 742 7- •�/ r4- I <br /> LOT BLK SUBDIVISION NAME OR C. S. M. NUMBER C.U.P. # ZONE <br /> TYPE OF IMPROVEMENT PROPOSED USE <br /> [!›<1 New building 001 One family bldg [ ] 013 Sery sta/garage <br /> [ ) Addition [ ] 002 Two family bldg [ ] 014 Hospitals/institutions <br /> C ] Alteration C 1 003 Three/four family bldg C ] 015 Office/professional <br /> C ] Repair/replacement C 1 004 Five/more family bldg C 3 016 Public works/utility <br /> C ] Moving/relocation C ] 006 Transient hotel/motel C ] 017 Schools/educational <br /> TYPE OF FRAME C 3 008 Amusement/recreational [ ] 018 Stores/mercantile <br /> C ] 009 Churches/religious C ] 019 Other non-residential <br /> 1 l!I Wood frame C ] 010 Industrial bldg C 1 020 Tanks/towers <br /> C ] Masonry (wall bearing) [ 1 011 Parking garage C ] 021 Add/alt residential <br /> C ] Structural steel C ] 012 Residential garage C ] 022 Add/alt non-residential <br /> [ ] Reinforced concrete PROPOSED USE (If non-residential, describe in detail) <br /> [ ] Other <br /> SEWAGE DISPOSAL • <br /> C ] Public <br /> Private /1, ./ L rii2 . F <L N N c <br /> Permit # 7 O lti- <br /> DIMENSIONS OWNER &O u s, /{T1+ -ST, Aer'r, <br /> Long ,S' Wide a.2' -�TJ ..r C.-1-3. -*-:>,c/ .s-3'%-W-i <br /> Stories / Feet AT <br /> Total floor area <br /> Total lot area CONTRACTOR ' /o ,.21 T • u oD A <br /> PARKING SPACES 7'/�7;>/sz / <br /> Required The undersigned and the owner of this building agree to conform to <br /> Furnished all applicable ord an of Dane County. <br /> SHORELAND/FLOOD PLAIN �.4.e6 fo Gee-f-->-i-e:- l-..2 -YS <br /> ignatur <br /> er or his agent Date <br /> Permit 1f <br /> VARIANCE INSPECTION RECORD Ll <br /> 7 . <br /> Permit /! Front yard � Right yard `� Left yard 4-�" Rear yard � -� <br /> DWELLING UNITS (003-004) Date -1-7S By 4 r:rtificate issued 94/,2 ' By <br /> 1 br X-' ,/ ��5) <br /> Notation / '. /(�v. �_ss+-t�'� � If � <br /> 2 br <br /> • 3 br <br /> Total <br /> OJ <br /> PERMIT # -'t9/�/,Z FEE 5-45 VOUCHER OR RECEIPT #070 - 2 DATE ' -2S/- ,�' <br /> COST OF BUILDING . (.?_.•.-7(.) '� `J Issued by !•L!t-t�tr+ ..7Z.,---f;'•-r. " <br /> I <br />