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CITY OF OSHKOSH N- 4 1523
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING,. .3 FLOOD PLAIN HEIGHT
ADDRESS CEO 12 1 p PLAN NO.
OWNER S C___
DESIGNER �r C
USE /NATURE OF WORK, ..1 o 41��/ A.142..0`-'k &l et" °l_ ^del
BUILDING CONTRACTOR A a.". _'ter 0
Size /(Z'X'I S S Ft. //4 %'C 9 (ot Zda p ne Height
P LA-e'Rdve q• #Rooms #Stories Foundation zh/f Class of Const. 6 Occupancy Permit 6c `eye
HEATING CONTRACTOR
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New Change Temp 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 LTub Eject SS Water
Other
FEES: Valuatio.. iim.r P m' Fee Paid Park Dedication
ISSUED BY Ado <i'= �._..r/ Date Final /O.P.
In the performance work I agree t• perform all work pursuant to rules governing the described construction.
SIGNATURE je'`" 0
N OWNER A
ADDRES G_. ./1 1 7-37-33 SS
o0 ,7 7 TELEPHONE
ZONING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: LQCO r c4.0Qo P r ZONING
PROPERTY OWNER/CONTRACTOR:
CONSTRUCTION DATA: New Construction Addition Alteration
TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.)
'eat, -e,,e r`
y
COMPLIANCE CHECKLIST
DEFICIENT COMMENTS
Use
Lot Width i
Lot Area
Lot Area Per Family
Floodplain 'i
Front Yard
Front Yard Side Street
Rear Yard
Side Yards
Building Area
Parking Standards ri 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 DENIED
Plan Commission Action Required
Variance(s) Requir
WED BY' 17?-77", flATE: REVIE