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Dale Judd-Chairman rowyv of Pr Attroser ± '1 <br /> Martha Gibson-Supervisor 4 <br /> 8468 County Highway A ``' (I <br /> Alex Elkins-Supervisor : , <br /> Verona,WI 53593 <br /> Ruth Hansen—Clerk 608-832-8056 <br /> Kristina Gorman-Treasurer <br /> Board Approval for Building Permit <br /> Applicant: ,4i1 d e4tJ deal/ <br /> Project Address: 02 7 5 leap/ /eo�e( <br /> Project: 30'x(n O .tic r 0i�,€ A c7Vd,9co . <br /> Project sketch attached to this document Yes X No <br /> Parcel Number: 0507- 33/ - g 000- <br /> Building site approval based on site visit on this day, of 720 , <br /> Site visit attended by Town Board members: <br /> Site visit attended by Planning Commission members: <br /> Date of approval by Planning Commission: /9Q11F- ,it .24 201 . <br /> Date of approval by Town Board: #2i_C e-ir c 4 e4 5>14 ZU(6, <br /> .407/r • 0 <br /> Town Clerk date Town Chair <br /> OF' <br /> 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 />