HomeMy WebLinkAbout1/16/06 Rooming House Applcation #751
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NO. 76 .-.
CITY OF OSHKOSH Þ"Tf,
ROOMING HOUSE INSPECTION AND LlC,ENSE APPLICATION
Date \ \\\0\ Q "" Address of Proposed Rooming House \\)\\ ~. ~.<\., "'~.,. '(
Owner ::;~\ {~~ e ~\ EV\:\.. Address~~ ~. \... '<.,£,\¡ "f\;\~ ~ .()S,~" ~\t¡d-.
Operator Sc.. ~. Address ~""~
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Agent designated to receive notices Q..,,\P. ,\ "), ~ c...""'1I'.. s.~\ ~~ -It.~, -It \.'.<;- ~, '
Addresf\ó.'Î\ 'S,. \..)~~t\« \~~~",\,..~
Type of occupancy at present Q...", ~,~" '\'1..:", \>. <...<: :
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Length of time in present occupancy \?:, '\ {.(\.,.:'>
Number of sleeping rooms
\\
Maximum number of occupants per sleeping room:
#1~
#2~
#3~ #5~ #7Ì- #9 G.., ~\\.a
'I" '
#4~ #6---L- #8~ #10!~
(FEE)
Paid:
Bed Linen and towels furnished by "\-... \'\"c..", ~,
Responsibility for cleanliness of sleeping room. \-~ \t'\<'< .,.;:,-\..s,
Heating plant is capable of maintaining the premises at 65' F. when th~ outside ,imperature is -15' F. 1..\ <t~
Water heating facilities are capable of heating water to a temperature of at' least 120' F. \ \
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TO THE HOUSING INSPECTOR: The undersigned hereby applies for a license to operate a rooming house as
described in this application. Operation will be in compliance with t~e minimum housing code and other ordinances
of the City of Oshkosh and building code of the State of Wisconsir. I n accordance with S. 11.13 (11) (d) of the
Municipal Code of the City of Oshkosh, it is further agreed, that the City Clerk will be immediately notified
of any change of agent. In accordance with S. 11.13 (11) (e) of the Municipal Code of the City of Oshkosh, it is
further agreed that written notice will be given the Housing Inspector within 48 hours after transferring 'or otherwise
disposing legal control of the above rooming house.
Sign.ed: '~ ~ .f'\
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%~ ~~t~kÞ À CtJ
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~~~.\;j\.U>~gv st', ~~\... S\q()~
A ress
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Address
License Issued:
OFFICE USE ONLY
Date
Date received
Zoning
Number
Inspected by
Date
G
OSHKOSH
ON THE WATER
No.3 34
ROOMING HOUSE LICENSE
License is hereby granted for a Rooming House located at
1011 W NEW YORK AVE , Oshkosh, Wisconsin, as described
in Rooming House Inspection and License Application Number 75/
MAXIMUM NUMBER OF OCCUPANTS PER SLEEPING ROOM:
#1-L #2~ #32 #4~ #5 Z- #6-L #7-L #s-L #9 2... #10-L l1:1/ 2..
Date of Issuance:
03/13/2006
This license expires
03/17/2007
Note: VPGN Ce>R..R.Sc...-QON ~£r\1 u:=
THIS LICENSE MUST BE POSTED WITHIN THE
COMMUNAL AREA ON THE LICENSED PREMISES
L~_~-=
Housing Inspector
'~.ø. Address 1011WNEWYORKAVE
OS~SH Rooming House License (242801.100-D750-4386.Q0000)
ON THE WATER Rooming House License Fee.. ... ...., .... .
$185.00
Check #
Cash
Amount Received
Received By
Date 04/0512005
Date
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