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Dale Judd-Chairman J ; <br /> Martha Gibson-Supervisor T4914)yv Primieole, /` <br /> Alex Elkins-Supervisor 8468 County Highway A 7,, <br /> Verona,WI 53593 <br /> Ruth Hansen—Clerk <br /> 608-832-8056 <br /> Kristina Gorman-Treasurer <br /> Board Approval for Building Do- t 3cks vJ (l� � <br /> Applicant: MI RIt peYj <br /> Project Address: A a 7 c°dsf ei 1, /SC'C w/4- <br /> Project: A3 .7 94144 4/(6r -E <br /> GU/ ) CO, 41-- Ld ei&-t prrem i -mot tudad <br /> Project sketch attached to this document Yes X No <br /> Parcel Number: 050 7 3 3/- 8z 5/0- 0 <br /> Building site approval based on site visit on this day, of <br /> Site visit attended by Town Board members: <br /> Site visit attended by Planning Commission members: <br /> • 41„ d 5-44 <br /> Town Clerk date Town Chair s/son 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 />