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WINNEBAGO COUNTY HEIGHT PERMIT
CITY OF OSHKOSH
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OW~ER: ;<0f36R-r -:r:::r~$
ADDRESS: }5 ZoNe..... CU~D:1f '
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ADDRESS OF PREMI SES AFFECTED: /O'~ .Nc.C(;~h\r >r
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TELEPHONE:
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HE I GHT OF PROPOSED STRUCT'URE ABlNE"cm4t>E:
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COUNTY USE ONLY
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EXISTING GRADE ELEVATION:
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MAXIMUM ELEVATION ALLOWED:
APPROVED: YES ;E;J
COMMENTS: "'.1 (J f-'<l.
"-"""':7' 'ft:,..;"..;_.,...; ;~
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CITY INSPECTOR: ~{M IDALL-MAV t
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TELEPHONE: 62.3" - SOs-, ;~ATE :9/7Ig.c.JJ--
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! White copy - County; Yellowcopy - Town; Pink cOPY'" Owner
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I. GENEAAL
Building Pe.r:mit # . " ZOning (<-, f!> ~nfOrrnin;;-1- t!l:Jn-O::mforming_
Job Iocation / Q j..g H Co CV&b II ' S-r Lot Dilrension 46)C ,"-&
Property Owner TZo6t:fl., r\lS:S .,Lot Area
c:c:NSTROCTIOO DATA
Describe ~k:~
--1- NEW. COOSTRUCTION
II.
ZONING!LAND USE <n1PLIANCE. CHECKLIST
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ADDITION
ALTERATION
.:L Accessoxy Building
Fence
Boathouse
_ Utility Structure
_. other, (specify)
III. CX)MP!.U\NCE' CHECKS
~ Single Family
_ Two-Family
_ Multi-Family
Catm:rcial
__ Manufacturing
Pool
Deck/patio
--..:. Sign
Porch
cat~lies
If
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A-
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Deficient
. Deficiency/Cantnents
Use
Lot Width
Lot Area
Floodplain ..
Front xard
Rear Xard
Side Xard (R)
Side Yard (L)
Parking
Building Area
Lot Area per Family
Comer lot
other (specify)
IV ~ REVIEt'lAUI'HOIUTY
The Planning Director, or appropriate designee, must approve all plans, except
the following: (1) Alterations or interior \rot:k when the use is confbntdng and
when no change of use is proposed. . (2) Maintenance itenls, e.g., siding, winoovs,
etc., when the use is confonning and when no chMge of use is proposed.
Instances where work CQnplieswith the above criteria, the pennitcan be reviewed
by the Building Inspector wi thoutrefer:ral to the Planning Director.
f\
APPOOVED
mr APPOOVED
Plan Conmission ActionRequi.red
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OWNER h~ ~
DATE ~-? - tY'i- PERMIT #
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GENERAL CONTRACTOR
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ADDRESS /(;;t. K ~ ~ /~
/7$-7d- USE cYr/L-- ~
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MASON. CONTRACTOR
Width of .lot
DATE
14-g'/rZ4J
IN,SPECTIONS
REIYlAlU<S
301-4/1
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MAILING ADDRESS