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4. <br /> Dale Judd-Chairman <br /> Town/of Pranros& yam.. <br /> Martha Gibson-Supervisor 4 <br /> 8468 County Highway A { . ( <br /> Alex Elkins-Supervisor Verona,WI 53593 <br /> Ruth Hansen—Clerk '608-832-8056 N <br /> Kristina Gorman-Treasurer <br /> Board Approval for Building Permit <br /> Applicant: cct If in dec'-S ✓Ce(kieo-s• <br /> Project Address: E730 2dk 6a, <br /> Project: 6OTY SD1cu 7oii7 c/o1.vt a c. cc `JGU lcic iq <br /> 4/ eec€ etke-6/WGe-4 <br /> Project sketch attached to this document X Yes No <br /> Parcel Number: D Se 7"- DD.9 // <br /> �" 9(SW~c, <br /> Building site approval based on site visit on this day, of <br /> Site visit attended by Town Board members: <br /> Site visit attended by Planning Commission members: <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 />