HomeMy WebLinkAbout0010616-Building (fence)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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BLDG 0 HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING RL FLOOD PLAIN- HEIGHT-
N2
10616
TYPE:
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --
ADDRESS
['ì?~8 (..{ <'reCUr-v L~e
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PLAN NO.
OWNER
USE/NATURE OF WORK
~t-
JL.
DESIGNER
BUIL~~:G ~Tr:~O%. Ft t)~f/'- e r:Rooms
Foundation r ~
# Stories
Height t; r ~
Occupancy Permit ~
Class of Const
HEATING CONTRACTOR
Heat 0 NC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
----
Electric Servo
New 0 Change 0 Temp 0
Type- Volts- Amps-
Fixtures
Switches
Receptacles
Circuits
-----
PLUMBING CONTRACTOR
_BT
_WH
_Sh
_Disp
_DW
_WSoft
_DF
- CBasin
- San. Sewer
_Lav
_WC
_FDr
_LTub
_SP
_Ur
- Storm Sewer
_Water
_Sink
Other
_Eject
_SS
-~
Date q ~ ~c.. -d-&-
Park Dedication $
Final/O.P.
orm all work pursuant to rules governing the described construction.
SIGNATURE
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v)aøJA..u 'fr-IJ-ro-'
. AGENT/OWNER
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r!~/r¡
DATE
ADDRESS
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TELEPHONE #
ZOIm:G/]:;,ND ú"SE CC~1PLII',Nœ c:m:c-<U:ST
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Buildinq Pet:mit ~ ZCnin;'~ Confoming ~ominq
J9b;c.ocation 18":;3'ë> f/"c-f<,Gry' 4.PI.&t D~ -
"j7.co- : .L.c."t-I' e.. "" /'
P%cperty Owner ..::. r'"",,-o"-..:r Lot Area
n.
CCNS'l'mX:TICN D!\TA
Desc:I:'ibe !å'k: '3 ~ ¡,:...
.ç¡-{/ & ( ¡; "5{
tV C> ~ß C~q<'
- NEW a::tiSTmX:l'ICN
- ADmTICN
IrI.
- Acœssor;¡ Buildinq
¿';:' Fence
- Boathcuse
- Utility Sf:ruct:ure
- Other (specify)
CDMPr..11INŒ CBEX:I<S
- Pool
- Deck/Patio
- Sign
- Porch
- AmERATICN
~&ih<;lë' Family
- 'l\òc-Family
- !t.Ilti.-Family
-~
- Manufac::r.urioo.
Can:!lies
r-
Deficient:
Use
Lot Width
tot Area
Floodpliain .
F:J:cnt Yard
Rear Yard
Side Yard (R)
Side Yard (L)
Pæ!ting
Building Area
Lot Area per Family
cmner tot
Other (speci..."'y)
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N.
DeficieD:Y' 1Cai1nents
REVIEt'l At1I'HORI'r"'..
'n1e Planning Director, or appropriate designee, must approve all plans, except
the fbUowinq: (1) Alteratio.ns or interior ..oP< when the use is c:onfotmi."\g and
when no change of use is p='sed. (2) Malnten.õliœ items, e-g... sièIir¡g-, wind::1.~
etc., when the use is c:cnfo::ming and when IX) chan<Je of 1ISe is ~:.
Instances where work a:zt;>lies with the above criteria, the pem¡.t can. l:ï= revie..'ed
by the Building Inspector withcut refe¡:ral to the Planning Director.
-K APProVED _NJr APProvED
- Plan Cœmission Action Required
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