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t® CITY OF OSHKOSH N- 42311
PERMIT - APPLICATION AND RECORD
TYPE: BLDG J HTG ❑ ELEC E PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS <E03 N e \2K PLAN NO.
OWNER GRFGv etc% t
DESIGNER
USE/NATURE OF WORK ( tc i_11.30-- L�- -i C:_: - 6' 1-110-t
Wax) Ft JCE.
BUILDING CONTRACTOR Ow S
Size Sq. Ft. # Rooms # Stories Height �
Foundation Class of Const. Occupancy Permit Ai '
HEATING CONTRACTOR
Heat ❑ A/C 0 Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New 0 Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT —WH _Disp —WSoft —CBasin
Lay _.Sh _DW DF —San. Sewer
_WC _FDr SP —Ur —Storm Sewer
Sink _LTub Eject —SS —Water
Other
FEES: Valuation $ 803. Permit Fee Paid $ 10 1;sl Park Dedication $
ISSUED BY 1.Q.,,+ 0a Date Mt2SI g"t Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
x SIGNATURE y// v l0-21-9K
/ AGENT/OWNER DATE
ADDRESS 8°3 'v' L, __c/ a-C '/26`25 7f,
TELEPHONE#
11
ZONING/LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: - \ PRA( �` • ZONING
PROPERTY OWNER/CONTRACTOR:
CONSTRUCTION DATA: New Construction Addition Alteration
TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.)
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COMPLIANCE CHECKLIST CS \c"� (v.k
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DEFICIENT COMMENTS
Use
Lot Width
Lot Area
Lot Area Per Family
Floodplain
Front Yard
Front Yard Side Street
Rear Yard
Side Yards
Building Area
Parking Standards
Off-Street Loading Standards
Vision Clearance
Transitional Yard Standards
Landscape Standards
Height �
Conditions of Approval
Compliance with P.C. or
BZA Conditions of Approval
Signage Standards
Drainage Plan
REVIEW AUTHORITY
As per Section 30-5 Enforcement of the City Zoning Ordinance, the Director of Community Development, o'
designee, must approval all plans, except the following: (1) Alterations or interior work when the use is
conforming and when no change in use is proposed. (2) Maintenance items, e.g. siding, windows, etc.,
when the use is conforming and when no change is proposed.
APPROVED DENIED
Plan Commission Action Required
Variance(s) Required
REVIEWED BY: DATE:
i, .- 0
is‘Aess:ge Center
Facsimile Transmittal i
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Kimberly-Clark Corporavor
OCT 2 4 1994
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