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Dale Judd Chairman <br /> rifYW i/ of Pry 'criv/ <br /> Martha Gibson -Supervisor <br /> Alex Elkins-Supervisor 8468 County Highway A <br /> Verona,WI 53593 <br /> Ruth Hansen—Clerk 608-832-8056 fir- <br /> Kristina Gorman -Treasurer <br /> Board Approval for Building Permit <br /> Applicant: GA.A., "` <br /> Project Address: 4I Gi <br /> Project: t` t, p <br /> Project sketch attached to this document Yes No <br /> Parcel Number: 50 7 - 151 9(0S <br /> Building site approval based on site visit on this day, q{Lof E�d.G.urt44i, az)I <br /> visit attended by Town Board members: <br /> Site visit attended by Planning Commission members: 0-0.11-c iI L &J <br /> Date of approval by Planning Commission: It -((o -ZOt J ei t+tLi,' aft L'3tA S i <br /> Date of approval by Town Board: /`IJ 1( <br /> ck <br /> 'AAP <br /> Town Clerk date Town Ch person date <br /> This form will be forwarded to the Town Building Inspector by the Clerk. You will also need <br /> to present a copy of this letter to Dane County Planning and Zoning when you apply for a <br /> Zoning Permit. <br /> Town of Primrose Building Inspector: Todd Parkos <br /> 310 N Kenzie St <br /> Barneveld,Wi. 53507 <br /> 608-516-1251 <br /> Todd.parkos @hotmail.com <br /> September 2015 13 <br />