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CITY OF OSHKOSH
N2 36658
PERMIT - APPLICATION AND RECORD
TYPE: BLDG T4 HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS g 7 M72.4,/? pc.
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_ 1 1 �y PLAN NO.
OWNER 1 _ !`.P d 4�/u u64A G
DESIGNER AS
USE/NATURE OF WORK / /Oi - O93 l 51 /9 / wool) • c
BUILDING CONTRACTOR I*Cjtilb
Size g3 P9 ' Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit A10
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
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2 ,/C
FEES: Valuation $ SnX: D°C) ° Permit Fee Paid $ £YJ - I Park Dedication $�
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ISSUED BY 4 3CJC� Date `G /i / 7 Final /O.P. ill ' 94
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
4
/ NT /OWNER
DATE
ADDRESS 31,? 474
TELEPHONE #
ZONING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: C 4 C)X)/ EL4/e ZONING
PROPERTY OWNER/CONTRACTOR: -__411111 C.)I(L/xJ 6
CONSTRUCTION DATA: New Construction Addition Alteration
TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.)
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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 and when no change is proposed.
4/,, DENIED
Plan Commission Action Required
Variance(s) Required
REVIEWED BY: • i — DATE: 1/7/ 793
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Archadeck of the Fox Cities/Telephone (414) 231 - 7476/(800) 653 -DECK (3325) /Fax (414) 231- 7636/P.O. Box 753 /Oshkosh, WI 54902
OWNER ADDRESS
:22 / 7 '-
DATE /./ l PERMIT # 3lDI0J� USE
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i ; . �� Work consists of
GENERAL CONTRACTOR
MASON CONTRACTOR ZONE
Width of lot DATE INSPECTIONS
REMARKS
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Front of lot MAILING ADDRESS