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Dale Judd Chairman TOW n/O f Pri n4''Oie/ ` <br /> Martha Gibson-Supervisor ■ / 4 <br /> Alex Elkins Supervisor 8468 County Highway A `l rI, <br /> Verona, WI 53593 <br /> Ruth Hansen—Clerk r <br /> 608-832-8056 <br /> Kristina Gorman -Treasurer <br /> Board Approval for Building Permit• <br /> Applicant: 4G d 4A/ 1 B,& _av <br /> Project Address: F63 edf 2 . teA ( (4)4s-(TO F) <br /> Project: fes/46( 2 (d (5)1 clGtt J / <br /> Project sketch attached to this document Yes X No <br /> Parcel Number: 05697— - F5 FO ' 7 <br /> Building site approval based on site visit on this day, h of –lltE_ , .Z0(7 <br /> Site visit attended by Town Board members: <br /> Site visit attended by Planning Commission members: <br /> Date of approval by Planning Commission: - - 2 E) - / 7 <br /> Date of approval by Town Board: 3 - - z-o/ 7 <br /> %/7 4— <br /> Tow Clerk date Town Chaiolerson 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 />