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Dale Judd-Chairman <br /> Martha Gibson-Supervisor row W of Privinro i <br /> Alex Elkins-Supervisor 8468 County Highway A � ' <br /> Ruth Hansen—Clerk Verona,WI 53593 /" <br /> 608-832-8056 <br /> Kristina Gorman-Treasurer <br /> Board Approval for Building Permit <br /> Applicant: 1/ ..-1.)►C9 E\ekr /. l,hnsfek <br /> Project Address: Pat& Q 0507- ///-S0/0-9 , guy 92 , !/er�14& <br /> Project: t � �� 6_ 4i d'K �. e oe4, <br /> Project sketch attached to this document X Yes No <br /> Parcel Number: 0507- /// - 2°/°- <br /> Building site approval based on site visit on this day, /1)14of_ g t . a0/6 <br /> Site visit attended by Town Board members: <br /> Site visit attended by Planning Commission members: A.Uid 6yeiner <br /> .1flyd <br /> Date of approval by Planning Commission: 1) 9 3, 20 I L{ * <br /> Date of approval by Town Board: .1A-we 2O l'1 * <br /> .31/8 • �' 1 3 -/8 l.6 <br /> Town Clerk date own Cha' 'erson 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 a7 j, <br /> Barneveld,Wi.53507 <br /> 608-516-1251 <br /> Todd.parkos@hotmail.com <br /> September 2015 13 <br />