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5 <br /> Dale Judd-Chairman , ' 1 ti!f • <br /> Martha Gibson-Supervisor <br /> T d�w o-f PYVm/Yo / );" • <br /> Alex Elkins-Supervisor 8468 County Highway A i <br /> Ruth Hansen—Clerk Verona,WI 53593 <br /> 608-832-8056 1; <br /> Kristina Gorman-Treasurer <br /> Board Approval for Building Permit <br /> Pall? CS*. e Applicant: \ <br /> 1 <br /> Project Address: W 60, <br /> Project: Mk/ VflCm <br /> Project sketch attached to this document Yes No <br /> Parcel Number: (.) C-1 .. 5616'. C/860 <br /> Building site approval based on site visit on this day, 17 of Xj()ll'" , &O/7 <br /> Site visit attended by Town Board members: Jei yi.Zro+-A_ <br /> Site visit attended by Planning Commission members: elac '65a'7 <br /> #cli/Cc7Cf AV-#7 <br /> Town Clerk date Town Chair rson 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 />