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CITY OF OSHKOSH
N9 40342
PERMIT - APPLICATION AND RECORD
TYPE: BLDG Okf HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /656 / ! r J /'L ! c.4- is , PLAN NO.
OWNER Loi 5 MIKE
DESIGNER
USE /NATURE OF WORK C_. / l
BUILDING CONTRACTOR m /? f xxE 11..0
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit ()
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
/5, . c ' = /1). °--g–. J _
FEES: Valuation -\ e..... Permit Fee Paid $ ` Park Dedication $
ISSUED BY �� - ' 7 Date W�! / QY Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE rt • 9-- - 7
' S AGENT /OWNER DATE
ADDRESS t. )o S L . Q 4 QA3- 93 I E7.
TELEPHONE #
•
ZOOMING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: /656 Ru ICC ZONING .
PROPERTY OWNER/CONTRACTOR: LO/ 5
CONSTRUCTION DATA: New Construction Addition Alteration
TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.)
/4.)52 /-e ‘g C.occ..13 / - ) Sr< yge-q-,
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 a d when no change is proposed.
APPROVED DENIED
Plan Commission Action Required
Variance(s) R- • ;Aid
V, ipv"
REVIEWED BY: ir#' L DATE: '/( AX
P9I1