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Dale Judd-Chairman <br /> Martha Gibson-Supervisor TOM w O f P rvm role.' <br /> Alex Elkins 8468 County Highway Supervisor Verona, I 53593 A <br /> Ruth Hansen-Clerk <br /> 608-832-8056 <br /> Kristina Gorman-Treasurer <br /> Board Approval for Building Permit <br /> Applicant: &AZ- c/c <br /> Project Address: ecig' g,•_</ .Po Z4-1-A P <br /> Project: kJP e ec ( .28pdacaf hemeiz <br /> Project sketch attached to this document X Yes No <br /> Parcel Number: 0507- O g{/- 955 O -(o <br /> Building site approval based on site visit on this day, /6' of .4p. <br /> Site visit attended by Town Board members: <br /> ezt?"*.4‘ <br /> Site visit attended by Planning Commission members: Qda.%e sera `F_ <br /> s/z A __D J <br /> Town Clerk date Town Chairperson 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 />