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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
19507
}VPE: BLDG ~ HTG D ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESSJ /r-- ~-rP-
OWNER ~~. ~
PLAN NO.
DESIGNER
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USE/NATURE OF WORK AA.!
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BUILDING CONTRACTOR ~ ~~ ~ihl?t,<~
Size Sq. Ft. # Rooms # Stories I f"v Height
Foundation ~ . Class of Const. f Occupancy Permit .d
HEATING CONTRACTOR
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
Permit Fee Paid $
Date
,-
i J .3.5"'.~ 0/' Park Dedication $
7/19/90 Final/O.P.
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE_K,c, ~(JO ~ .~~
__' AGENT/OWNER
~/- 19- 90
DATE
ADDRESS
TELEPHONE #
Revised: 8/FE
ZONING/LAND USE COMPLIANCE CHECKLIST
.OB LOCATION: fJr- 4~ 4.r . lONING:
"f.'PROPERTY OWNER/CONTRACTOR: / r ~ ~
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CONSTRUCTION DATA: NEW CONSTRUcnON ADDITION y0(LTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.)
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COMPLIANCE CHECKLIST (Check only those applicable)
REVIEW AUTHORITY:
The Director of Community Development, or designee, must approve all plans, except the
following: (1) Alterations or interior work when the ,use is conforming and when no change
in use is proposed. (2) t4aintenance "items,. e.g. siding, windows, etc., when the use is
conforming and when no change is proposed.
Instances where work complies with the above criteria, the permit can be reviewed by the
Building Inspector without referral to the Director of Community Development, or designee~
~PROVED DENIED
Plan Commission Action Required
Variance(s) Required
REVIEWED BY: ~"J::4d.lA.~
COMPLIES
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DEFICIENT
Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (f~yard)
Rear Yard
Side Yard (R)
Side Yard (L)
Park.ing Spaces
Building Area
Lot Area Per Family
Corner Lot
Landscaping
Transitional Yard
Off-Street Loading
Vision Clearance
Height
DEFICIENCY/COMMENTS
DATE: 7/ /t; /90
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