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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
32153
TYPE:
BLDG~TG 0 ELEC 0 PLBG 0 SIGN 0 ZONING - FLOOD PLAIN - HEIGHT-
- - - - - - - - - - - - - - - - - - - - -. - - - - - -. - - - - - -. - - - - - - - - - - - - - - - - - -. - - - -. - - - - - - --
OWNER
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PLAN NO.
ADDRESS
DESIGNER
USEINATUREOFWORK AJOI'-+~ ~ Ð{.' Mr-eLuß:;:e - Cøu.V~~ cb ~QY;e.D
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BUILDING CONTRACTOR <C4. 0 iIf P t-
Size/DO 'fflO Sq. Ft. (2-000
Foundation ~ K. r,--d-
# Rooms /.¡-/ p.e!¿;',"# Stories
Class of Canst. f3
( Height
Occupancy Permit key#'
HEATiNG CONTRACTOR
"iTeek
Zp ",.f-I(i' r-
Heat 0 NC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR - ~~. k. <r .-
Electric Servo
New 0 Change 0 Temp 0
Type- Volts- Amps-
Fixtures
Switches
Receptacies
Circuits
PLUMBING CONTRACTOR
koc.Å
_BT
_WH
_Sh
_Disp
_OW
_WSoft
_OF
- CBasin
- San. Sewer
_Lav
_WC
_FOr
-SP
_Ur
- Storm Sewer
_Sink
_LTub
_Eject
_SS
_Water
Other
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Park Dedication $ -----------
Final/O.P.
ISSUED BY
in the performance of this work I agree to perform aU work pursuant to ruies governing the described construction.
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DATE
SIGNATURE
ADDRESS
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Revise:!: 8/89
ZONING/LAND USE COMPLIANCE CHECKLIST
_--ç-OB W "Ý tf:dt- ZONING:
JOB LOCATION:
PROPERTY OWNER/CONTRACTOR:
CONSTRUCTION DATA: _NEW CONSTRUCTIO!
ALTERATION
-"ARKING LOT
_ADDITION
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence. pool. sign. deck. etc.)
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COMPLIANCE CHECKl.IST (Check only those applicable)
DEFICIENCY/COMMENTS
C~I
DEFICIENT
Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (fra1t yard)
Rear Yard
Side Yard (R)
Side Yard (L)
Parking Spaces
Building Area
Lot Area Per .Family
Corner Lot
Landscaping
Transitional Yard
Off-Street Loading
Vision Clearance
Height
REV I
AUTHORITY :
Aj,aJ ~~~::t~ß/--
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The O"rector of Conmunity Development. or designee. must approve all plans, except the
follo\Ìling: (1) Alterations or interior work when the use is conforming and when no change
in use is pT"Qposed. (2) ~4aintenance items.. e.g. siqing, windows, etc., when the use is
conforming and when no change is pT"Qposed.
Instances where work complies with the above criteria. the permit can be reviewed by the
Building Inspector without. referral to the Director of Conmunity Development. or designee.
~;~ROVED' DENIED
- Plan Conmission Action Required
- Variance(s) Required Q
IŒVIEJ/ED ", ~ ~..~
DATE:
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OWNER~ À.wh~
DATE { ?~lf(PERmT # 3?1..$.-=r.
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GENERAL CONTRACTO R
ADDRESS
USE
MASON. CONTRACTOR
Width oflot-----
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DATE INSPECTIONS
~ REI-lARKS
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Front of lot
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