HomeMy WebLinkAbout1993-Building (ground sign)
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CITY OF OSHKOSH II! 33251
PERMIT - APPLICATION AND RECORD
TYPE:
BLDG 0 HTG 0 ELEC 0 PLBG 0 SIGN ~ZONING - FLOOD PLAIN- HEIGHT-
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OWNER
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PLAN NO.
ADDRESS
DESIGNER ~
USE/NATURE OF WORK~"",-,,--::<I-I'~ ~ ~,~
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BUILDING CONTRACTOR 0., Q ,V\.f> -l
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Siztf 5<: "'-f Sq. Ft. # Rooms
Foundation Þ ~r
# Stories
Height tP
Occupancy Permit /C/ Ð
Class of Const.
Heat Loss
BTU'S
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HEATING CONTRACTOR c-
Heat 0 NC 0 Vent 0 Fuel/System
ELECTRIC CONTRACTOR -=----'
Electric Servo
Fixtures
New 0 Change 0 Temp 0
Type - Volts - Amps -
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR r---
_BT _WH _Disp
_Sink
Other
_FDr
_LTub
_DW
_SP
_WSolt
_DF
- CBasin
_Lav
_Sh
- San. Sewer
_WC
_Ur
- Storm Sewer
- Eject
-SS
_Water
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Park Dedication $ ~
Final/O.P.
ISSUED BY
Date
In the performance of t IS work I agree t perform all work pursuant to rules governing the described construction.
SIGNATURE d- ~ 'I-s-"I'5
AGENT/OWNER DATE
ADDRESS
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TELEPHONE #
ZONING/LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: ..:s.~..5? t.U -y&
PROPERTY OWNER/CONTRACTOR: ~ R.""'- h~rf~
CONSTRUCTION DATA: _NEW CONSTRUC1'DI _ADDITION _ALTERATION
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence. pool. sign, deck, etc.)
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Revisej: 8/89
ZONING:
~ARKING LOT
COMPLIANCE CHECK1.IST (Check only those applicable)
DEFICIENT
REVIEW AUTHORITY:
The Director of Colll11unity Development, or designee, must approve all plans, except the
following: (1) Alterations or interior work when the use is conforming and when no change
in use is proposed. (2) t~aintenance items.. e.g. si~ing, windows. etc.. when the use is
conforming and when no change is proposed.
Instances where work complies with the above criteria, the permit can be reviewed by the
Building InSpe~~~ti1:referral to the Director of Colll11Unity Development, or designee.
~ APPROVED - DENIED .
- Plan Commission Action Required
- ::::':: "'~¡~Q~ DATE'
Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (fra'It yard)
Rear Yard
Side Yard (R)
Side Yard (L)
Parking Spaces
Building Area
Lot Area Per Fami.ly
Corner Lot
Landscaping
Transi tional Yard
Off-Street Loading
Vision Clearance
Height
DEFICIENCY/COMMENTS
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