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CITY OF OSHKOSH N° 28238
PERMIT — APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ? ?' —. Af 0 rt+C fc r- - :::) f 4„GQ- PLAN NO
OWNER f k f , FA—
DESIGNER /i C�
USE /NATURE OF WOR re.`.�F 0 Gie l $ f6 " t - PAC r A
BUILDING CONTRACTOR 77e J 4.-4-& A c c.O
Size 1))( O Sq, t. # Rooms # Stories Height l d./.
Foundation �1^-G 0—E' I t:I - "g Class of Const. 8 Occupancy Permit414,
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
J
V a l u a t i o n •• ee Paid $ Park Dedication $
ISSUED BY 1 i � / _ A ,,f ....■ Date Final /O.P. 6 /9/9,Z
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE ��� "" T� VR910 icti
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AGENT /OWNER DATE /
ADDRESS 8 /Ygi6fi D5 233-73 LA
TELEPHONE #
Revised: 8/89
ZONING /LAND USE COMPLIANCE CHECKLIST
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JOB LOCATION: �Z '`f i'o�C /,�. c d— 4� a. ZONING:
PROPERTY OWNER /CONTRACTOR: T d 1 r r f i a 77r S' en CI
CONSTRUCTION DATA: NEW CONSTRUCTI{4 ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.)
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COMPL ANCE CHECKLIST (Check only those applicable)
COMP IES DEFICIENT DEFICIENCY /COMMENTS
Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (fircnt yard)
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
REVIE 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) Maintena a items, e.g. siding, windows, etc., when the use is
conforming and when no change proposed.
Instances where work co ies with the above criteria, the permit can be reviewed by the
Building Inspect r w" out referral to the Director of Community Development, or designee.
APPROVED DENIED
Plan Commission Action Required
Variance(s) Required _
REVIEWED BY: - Alb , �� ,� DATE: 41/1111V
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CAPE CO
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77 ._ 7 �Wi 54901
THE t Uk ` O:StAPEI CO.
833 f. a
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)SCAPE CO.
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2 Oahkil. h, Wl 5490;1;
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CAPE CO
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77 ._ 7 �Wi 54901
THE t Uk ` O:StAPEI CO.
833 f. a
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)SCAPE CO.
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2 Oahkil. h, Wl 5490;1;
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OWNER ADDRESS 02S2
DATE PERMIT # USE
We xk consists of Xcet.4
GENERAL CONTRACTOR
MASON CONTRACTOR ZONE
Width of lot DATE INSPECTIONS
T REMARKS
V
C > A
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1-4
V
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0
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Front of lot MAILING ADDRESS