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CITY OF OSHKOSH N2 25871
PERMIT — APPLICATION AND RECORD
TYPE: BLDG 4 ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING ,"/ FLOOD PLAIN HEIGHT
ADDRESS / 9 2 G >776z-A
PLAN NO.
OWNER / /(L e 7 L/ Pi,) S K i
DESIGNER
USE /NATURE OF WORK S Fif )1Jx 2 zx/ai(loft."
C
BUILDING CONTRACTOR 90 i��
Size 22- 43 Sq. Ft. 70 , # Rooms 3 # Stories / Height
Foundation Class of Const. GS
Occupancy Permit
HEATING CONTRACTOR d°rt./.ki
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
; 24*-"4:1
BT WH Disp _ WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation 2 .-0 0 0 , 0 0 9 Z_ j o
Permit Fee Paid $ Park Dedication $
ISSUED BY r i!'�� ,i.....CGd`xr✓ Date /eV / g/`j / Final /O.P. 3 7'
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
i
SIGNATURE £ e4i c /I, 2Li, /t l
AGE ? /O/1 DATE
ADDRESS I W 0 V. flj - / 3S-, OD lf
TELEPHONE #
Revised: 8/89
ZONING /LANG USE COMPLIANCE CHECKLIST
JOB LOCATION: /9Z (o i G rrl ZONING:
PROPERTY OWNER /CONTRACTOR:
CONSTRUCTION DATA: NEW CONSTRUCT - 0 L.A56ITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.)
`l2_ 3
COMPLIANCE CHECKLIST (Check only those applicable)
COMPLIES DEFICIENT DEFICIENCY /COMMENTS
Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (fralt y ard)
Rear Yard
Side Yard (R)
• Side Yard (L)
Parking Spaces
Building Area
Lot Area Per Family
Corner Lot
Landscaping
Transitional Yard
Off-Street Loading
Vision Clearance
Height
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) Maintenance 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.
APPROVED DENIED
Plan Commission Action Required
Variance(s) Required
,I� � REVIEWED BY: �I DATE: /400(
SURVEY
for
Mike Czlapinski
All of Lot Six (6) and that part of the South 25.00 feet of
Lot Five (5) lying Westerly of a line running parallel with and
50.00 feet Westerly as measured at right angles from the Soo Line
Railroad Company's Main Track in Block Thirteen (13) of Powers
and Smiths Addition, 14th Ward, City of Oshkosh, Winnebago CounLy,
Wisconsin.
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BLOCK 13 °
9 �
S.89 ° - 57118'1E. 125.79' s `' O
%... 5 \P CI.%
80 ' 0.......
N y- 10` ,
O
$ S.669.\57 .
PIPE F OUND E144.4: o
0 V0.21 N.OF COR. r Gk.-Alt a •
18.87' •
2 . • _ - ' 186.37
a 6RAVEL y, ,�� I (161.1' PLAT) 0'
D W DRIVE
Z i t • 34.3 1 a •
w
A P N HO Atl�Tr. �
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a . ° s.
70 ° ,o,,
m 1 . 0 m •1 c > y . _ 'AREA= 11,680.36 SD. FT.
q
• (184.1 PLAT) °
80' N.89 °- 58` -O,W. 179.74
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------LEGEND ------ !
. Os5/8 "X 24 ° STEEL ROD /CAP I Zr
• I 1/4" IRON PIPE FOUND m o m
'' SCALE 1 "s30' O
70
DATEsMAY 21,1988 �
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OSHKOS
JAMES C. CO i • y41I SCONS1N
WISCONSI IsTERE0 LAND SURVEYOA 81512 . •��•• . �
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DATED THIS 2 Z 4 DAY OF 17/44, 111 J ' ' ''r / /lh`U ``` ``
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•
COX LAND SURVEYING INC. •
LAND SURVEYORS
OSHKOSH, WISCONSIN
NOTEBOOK 3 PAGE 49,50 J —213
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