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Y " on n9 Pe Permit Application N° 3852 <br /> ION:' PERMIT NO. 5 <br /> LO <br /> _YY_I___ -,-, <br /> NUMBER ROAD v <br /> �� TOWN 3—> SECTION <br /> LOT BLOC K °Z. /Il �`/ J 3 7� ,_ <br /> S BDIVISION NAME OR C.S.M.NUMBER <br /> ROAD: C.U.P. NO. ONE <br /> PROPOSED USE: <br /> CLASS --D- , =,r 2'.. <br /> ❑ 101 ONE FAMILY BUILDING .. <br /> ' Ems,".1 ❑ 324 OFFICE/BANK/PROFESSIONAL <br /> WIDTH ❑ 102 TWO FAMILY BUILDING ❑ 325 PUBLIC WORKS/UTILITIES <br /> ❑ 104 THREE/FOUR FAMILY BUILDING ❑ 326 SCHOOLS/EDUCATIONAL <br /> --;.:-/ ID 105 FIVE/MORE FAMILY BUILDING ❑ 327 STORES/MERCANTILE <br /> TYPE OF IMPROVEMENT: - " ' • ' <br /> D NEW BUILDING <br /> ❑ 213 HOTELS/MOTELS ❑ 328 OTHER NON-RESIDENTIAL BUILDINGS <br /> �" x <br /> ''' ❑118 AMUSEMENT/RECREATIONAL BLDG.`❑ 329 STRUCTURES'OTHER THAN BUILDINGS <br /> prAtir3ifio—N' ❑ 319 CH(.1RCHES/RELIGIOUS BUILDING <br /> '"� � a� �� tscu_, t rr �34 ADDN/ALT.HOUSEKEEPING BUILDINGS <br /> ❑ALTERATION: _ .,4 ii:r <br /> �»»: - ❑ 320 INDUSTRIAL BUILDINGS t*;. p❑ 436 RESIDENTIAL GARAGES/CARPORTS <br /> ❑ REPAIR/REPLACEMENT ❑ 322 SERVICE STATION/REPAIR GARAGE ❑ 437 ADDN./ALT. NON-RESIDENTIAL BUILDINGS <br /> ❑MOVING/RELOCATION. ` • ❑ 323 HOSPITAL/INSTITUTIONAL ' <br /> OF FRAME: ❑ OTHER (N T INCLUDING ABOVE) <br /> TYPE <br /> PROPO ,S (I�non-residential,describe in Beta u-� 9 '1 <br /> 7C00D FRAME X-"-'j ��f�^' ��. J .� <br /> ❑MASONRY MALL BEARING) ,s-lF"'�i7C.C. J/`1 4//by/74 / 4 7----o S 4- <br /> 0 STRUCTURAL STEEL ' , :,.„. OWNER: <br /> ❑ REINFORCED CONCRETE ". <br /> D OTHER r' Ir/L d — r; , <br /> «. <br /> 9996 ,!?4 2* f 0,4_/�j /?4 <br /> SEWAGE DISPOSAL- <br /> ❑PRIVATE CONTRACTOR: - <br /> PERMIT NO. r . <br /> _ <br /> DIMEN _ ------ <br /> LONG Z WIDE ,.."/ , �y/z[¢y /�y <br /> 2- S?sue <br /> STORIES FEET �' <br /> The undersigned and the owner of this building agree to conform to all applicable ordinances of Dane County. <br /> The dimensions and location of the proposed construction shall be as shown on the attached site plan. <br /> TOTAL FLOOR AREA <br /> TOTAL LOT AREA <br /> PARKING SPACES: Signa ure of owner or his agent. <br /> Date <br /> INSPECTION RECORD: <br /> REQUIRED <br /> FRONT YARD RIGHT YARD • LEFT YARD -"'"----REAR YARD <br /> FURNISHED <br /> SHORELAND/FLOOD PLAIN: DATE Z' I Z'` -5 BY ( <br /> �j CERTIFICATE ISSUED Z-IZ13 BY <br /> • NOTATION: <br /> PERMIT NO. ( ( <br /> VARIANCE: _ o 'L /A) S1 s' /fre C i /il„ j ) j ( 0 <br /> /fir.__,„ ._ <br /> PERMIT NO. � Gl[L�L <br /> DWELLING UNITS(003-004) -- <br /> 1 BEDROOM AREA: . . <br /> • <br /> 2 BEDROOM BASEM T <br /> Is. FIRST SECOND TOTAL <br /> 3 BEDROOM COST: - _ U FE • 17 - ; <br /> i <br /> TOTAL ISSUED B i i► ' DATF —(�/—8 d <br /> 545-24(11/85/ t___: <br />