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• • <br /> Dane County-ZONING PERMIT APPLICATION PERMIT NO.149 30714 . <br /> `LOCATION:' / <br /> 93 Z7 V 1P,,9,' sces 73-64z, g.O rhve- 'cc jj' .�X'`s <br /> NUMBER ROAD TOWN SECTION Si %� <br /> 3 7 /./rle'a aeoei,C <br /> LOT BLOCK SUBDIVISION NAME OR C.S.M.NUMBER C.U.P.NO. ZONE <br /> ROAD: PROPOSED USE: <br /> CLASS E 14001 ONE FAMILY BUILDING ❑013 SERVICE STATION/GARAGE <br /> /i ❑002 TWO FAMILY BUILDING ❑014 HOSPITALS/INSTITUTIONS <br /> WIDTH (!X� I.]003 THREE/FOUR FAMILY BUILDING <br /> ❑Ot5 OFFICE/PROFESSIONAL <br /> ❑004 FIVE/MORE FAMILY BUILDING ❑016 PUBLIC WORKS/UTILITY <br /> TYPE OF IMPROVEMENT: ❑006 TRANSIENT HOTEL/MOTEL ❑017 SCHOOLS/EDUCATIONAL <br /> $JEW BUILDING ❑008 AMUSEMENT/RECREATIONAL ❑018 STORES/MERCANTILE <br /> O ADDITION ❑009 CHURCHES/RELIGIOUS ❑019 OTHER NON•RESIDENTIAL <br /> 1 O ALTERAl ION ❑010 INDUSTRIAL BUILDING ❑020 TANKS/TOWERS <br /> ❑REPAIR/REPLACEMENT ❑011 PARKING GARAGE ❑021 ADDITION/ALTERATION RESIDENTIAL <br /> O MOVING/RELOCATION ❑012 RESIDENTIAL GARAGE ❑on ADDITION/ALTERATION NON-RESIDENTIAL <br /> TYPE OF FRAME: PROPOSED USE: (If non-r.Nd•niiel,describe in dstsi0. <br /> WOOD FRAME <br /> o MASONRY(WALL BEARING) <br /> ❑STRUCTURAL STEEL <br /> ❑REINFORCED CONCRETE <br /> ❑OTHER___,_ OWNER: <br /> SAM Ca. 4 1A)( e tigi o, SAC) <br /> SEWAGE DISPOSAL:` �j <br /> ❑PUBLIC g l(f6. X 63/Z- <br /> RPRIVATE <br /> /1.129 vs41.4/ ,was 537,:z <br /> PERMIT NO /76/ CONTRACTOR: <br /> DIMENSIONS: <br /> i E <br /> LONG-1E7_7_ .._,__WIDE 3./-y ,i: <br /> STORIES/ FEET <br /> TOTAL FLOOR AREA_ _ Th•undsrsi the ownat,a4 th 'uilding serge to conform tool!applicable ordinances of Dana County. <br /> TOTAL LOT AREA L h-�! --I-1A-4,, Yi 1 <br /> PARKING SPACES: Signature owner or his agent. JJJ <br /> INSPECTION RECORD: <br /> REQUIRED <br /> FRONT YARD RIGHT YARD ✓/ LEFT YARD REAR YARD• �� <br /> FURNISHED <br /> r^_ <br /> SHORELAND/FLOOD PLAIN: DATE •� 23-ZB{' CERTIFICATE ISSUED4' BY 4•�-, <br /> r <br /> I" <br /> NOTATION: <br /> if PERMIT NO._ #S /��� Fj <br /> VARIANCE: f <br /> } <br /> PERMIT NO. _ <br /> DWELLING UNITS(003-004) -.3-'7C. . t ' 1 - <br /> 7' r <br /> 1 BEDROOM AREA: <br /> 2 BEDROOM BASEME T/ZZO FIRST 74 Z-4 SECOND TOTAL 3`�'6 4 <br /> J` % <br /> J <br /> I. <br /> 3 BEDROOM CO • CS, ODV E ,, ell 0 Q o- <br /> TOTAL ISSUED BY '.-� . 0/ /'-J►..-- f DATE f <br /> --545;2414/7W — <br /> x- <br />