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Dane County Zoning Permit Application . PERMIT NO. =- `± • <br /> LOCATION: <br /> ,:2619/ ,� ��,( �4v -' //i, r 2? 4 <br /> NUMBER ROAD TOWN SECTION �'% • 4 <br /> / /(7/ V//`'/_ / - ��'- S!/�S -;f;' <br /> LOT BLOCK SUBDIVISION NAME OR C.S.M. NUMBER PARCEL NUMBER C.U.P. NO. ZONE <br /> ROAD: PROPOSED USE: <br /> CLASS ❑ 101 ONE FAMILY BUILDING ❑ 324 OFFICE/BANK/PROFESSIONAL <br /> ❑ 102 TWO FAMILY BUILDING ❑ 325 PUBLIC WORKS/UTILITIES <br /> WIDTH ❑ 104 THREE/FOUR FAMILY BUILDING ❑ 326 SCHOOLS/EDUCATIONAL <br /> El 105 FIVE/MORE FAMILY BUILDING ❑ 327 STORES/MERCANTILE .. <br /> TYPE OF IMPROVEMENT: ❑ 213 HOTELS/MOTELS ❑ 328 OTHER NON-RESIDENTIAL BUILDINGS <br /> ❑ NEW BUILDING ❑ 318 AMUSEMENT/RECREATIONAL BLDG. ❑ 329 STRUCTURES OTHER THAN BUILDINGS <br /> /}-ADDITION ❑ 319 CHURCHES/RELIGIOUS BUILDING .4}-434 ADDN./ALT. HOUSEKEEPING BUILDINGS <br />• ❑ALTERATION ❑ 320 INDUSTRIAL BUILDINGS ❑ 436 RESIDENTIAL GARAGES/CARPORTS <br /> ❑ REPAIR/REPLACEMENT ❑ 322 SERVICE STATION/REPAIR GARAGE ❑ 437 ADDN./ALT. NON-RESIDENTIAL BUILDINGS <br /> ❑MOVING/RELOCATION El 323 HOSPITAL/INSTITUTIONAL ❑ OTHER (NOT INCLUDING ABOVE) <br /> TYPE OF FRAME: PROPOSED USE: (If non-residential,describe in detail). p ,1 <br /> 0 MAOD FRAME Gne/K ^ our �/\1 , 1 . )_Ple -fs 71'fK. <br /> �❑ MASONRY(WALL BEARING) <br /> ❑STRUCTURAL STEEL OWNER: <br /> ❑ REINFORCED CONCRETE e 7 4 ?04&4/24 /'kQX <br /> ❑OTTHER <br /> Z./�t 2/ (J//(/A1tr R/k <br />• SEWAGE DISPOSAL: Si(�U(of��� �/ �. <br /> ❑ PUBLIC <br /> PRIVATE // CONTRACTOR: <br /> PERMIT NO. <br /> DIMENSIONS: <br /> , / ,- / <br /> LONG 7 WIDE IS <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 11 ta 1 <br /> PARKING SPACES: Signature of owner r his agent. Date <br /> INSPECTION RECORD: <br />• REQUIRED <br /> FRONT YARD RIGHT YARD LEFT YARD REAR YARD <br /> FURNISHED <br /> SHORELAND/FLOOD PLAIN: DATE BY CERTIFICATE ISSUED BY <br /> NOTATION: <br /> PERMIT NO. j/ //`/A/ ��f 1�/ <br /> VARIANCE: ' <br /> PERMIT NO. <br /> .")< fl/..�s/ /46191.x', <br /> DWELLING UNITS(003-004) <br /> 1 BEDROOM AREA: / <br /> 2 BEDROOM BASEMENT FIRST SECOND TOTAL <br /> I • '1/ <br /> / _0 FEE: !. _11 <br /> 3 BEDROOM COST: / �l / <br /> / / /��� ' - / DATE v f2. �ft <br /> TOTAL ISSUED B _ <br /> 545-24(9/86) <br />