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Dale Judd-Chairman <br /> Martha Gibson-Supervisor <br /> Tofuw o f PriAn o = �� <br /> Alex Elkins Supervisor 8468 County Highway Aa' ' <br /> Ruth Hansen—Clerk Verona,WI 53593 _�- <br /> 608-832-8056 <br /> Kristina Gorman-Treasurer <br /> Board Approval for Building Permit <br /> Applicant: Ilk t2 9a_ € , iscffi <br /> Project Address: I Z cgs 14 AL C 2- <br /> Project: <br /> Pe-pla <br /> ci-i ,t P c' 4 .e2(t S G a.U" <br /> Project sketch attached to this document Yes X No <br /> Parcel Number: 0 SO 7 it/- (15// - CJ <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 /> Date of approval by Planning Commission: g -I' -201 Cr, <br /> Date of approval by Town Board: ('j 1 Z - 20 f C, <br /> A y-06 DA Town Clerk Town Chair rson 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 />