|
t1 %sue tia >+ ' i '��� �„.?�+� -
<br /> c. "-- c ' R .6' es Y " - ,t¢ ltf V -`' 1 t4 si New f .� "rr,- ii,,,. ,,..
<br /> • y s i+'s --' ✓,-34'''•1".., fia r , . '•r a. ,,fft 4� A ., � . ` . P:, 4 ,, ?'-•, -.- , 3t`,� 1x,fi�,x1. :. ..r„F<`,. "'"'! `, •j .4., "c q..ut.i.4„. ` '?t.:>iA h i .,r. ••- " ..4 } u •
<br /> APPLICATION FOR BUILDING PERMIT, DANE COUNTY, WISCONSIN G8� `'
<br /> The undersigned hereby applies for a building permit to authorize the proposed building PERMIT NO. —70
<br /> construction described below. The undersigned declares that the statements made below ,ft' o,
<br /> are true and that the proposed construction work and its contemplated use are all in full FEE ,
<br /> compliance with all laws and ordinances applicable thereto
<br /> Town /• L)iwi/4 Section 7 /.S, S'E Ala S'.4.-- //11,
<br /> Lot Block Subdivision
<br /> Certified Survey Map No. .,�. a' , Recorded Volume Page
<br /> Work /Jo ✓/./✓ G— Construction /=RR••■t C Cost ("75—O 0 •
<br /> • District ,4" / Use S. F. .
<br /> _Apt.—B.R. P sq/ft= o
<br /> -Apt._B.R. p sq.'ft=
<br /> i
<br /> Total Width G •
<br /> I
<br /> Lot area %Coverage
<br /> • Parking spaces required Furnished - i
<br /> Public sewer i1/v Public water .si D o
<br /> •
<br /> /17/41 1
<br /> Septic tank permit no.///t Well permit no. Rear •30
<br /> Shoreland Flood plain
<br /> (Attach all engineering data)
<br /> For area m,re than 5 acres, show total acreage [`
<br /> I
<br /> for 5 acres or less, show dimensions at right- Depths ny�
<br /> o �'/N L • I
<br /> Variance granted by Board of Adjustment n o /t7 Height /5 u° t
<br /> B- J Side / Side p ..
<br /> Date Stories
<br /> jr?' /
<br /> W oth
<br /> /<7.7- / /77/47 R S/-/.9 L/_ n ,
<br /> ��/ r
<br /> Builder /�/.CTRG. �oRt>t3 ti-.f%, Ae'/Z
<br /> /a � Set Ba i I °m
<br /> S,gned t' �!�4'.y�/Ya,/ t'��i/']yq' . �t-r -r/
<br /> '/-C Owner-Builder-Age t Width
<br /> Pc:mit Issued c•-,.t .,"t'.-. 1 7 /
<br /> _ -!-`7 ,--7--/''',7-:e"-!`...s., ->..r!�' .f1 ( / 7 ( / Width��r Class ,
<br /> Zoning Supervisor Road /
<br /> LOCATION INSPECTION
<br /> Depth R■ght Left Rear Set Back c"I .I;L' Date By
<br /> Yard Yard Yard 7
<br /> •%�
<br /> • i
<br /> FINAL INSPECTION Certificate of Compliance issued / /(... 7 L I
<br /> / ,-?5./ ,. 0',,_.m r
<br /> By 1 1 I
<br /> Daze Y Zoning Supervisor -.
<br /> r
<br /> Remarks
<br /> 1
<br /> 1
<br /> •
<br />
|