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CITY OF OSHKOSH N2 40482
PERMIT - APPLICATION AND RECORD
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OWNER
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PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK (i;¡::¡::.)
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BUILDING CONTRACTOR
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Size
Sq. F!.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Cons!.
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HEATING CONTRACTOR
Heat 0 AlC 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
- CBasin
- San. Sewer
_Lav
_DF
_WC
_FDr
_LTub
_SP
_Ur
_Storm Sewer
_Sink
_Eject
_SS
_Water
Other
Permit Fee Paid $
Date
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Park Dedication $
Final/O.P.
FEES: Valuat~ ~
ISSUED BY L
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JOB LOCATION:
ZONING/LAND USE COMPLIANCE CHECKLIST
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ZONING
CONSTRUCTION DATA:
New Construction
Addition
Alteration
TYP OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.)
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COMPLIANCE CHECKLIST
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, or
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
Plan Commission Action Required
DENIED
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REVIEWED BY: '~ (
DATE:
7/1L/ /~y