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CITY OF OSHKOSH N°- 40259
PERMIT - APPLICATION AND RECORD
TYPE: BLDGHTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /-2 ?...-- 1` C .1 1`ie 0 PLAN NO.
OWNER igiff e c`- RA(la c_ e
DESIGNER
USE/NATURE OF WORK f'tt (.' — c- 40 E' ci r-cr'G°r
BUILDING CONTRACTOR oct F r
Size 62 ' ` Sq. Ft. # Rooms # Stories Height ,!�
Foundation !'r'sj ei^� en�'`-c i-e fe Class of Const. Occupancy Permit_41
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
_Lay _Sh DW DF San. Sewer
_WC —FDr SP Ur —Storm Sewer
_Sink LTub Eject —SS —Water
Other
_7' �`}r P)- it F- -aid $ C' Park Dedication $
FEES: Valuation $
r C� • AWAY — Final/O.P.
ISSUED BY �-�� Date
In the performance of this work I agree to pe orm all work pursuant to rules governing the described construction.
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SIGNATURE ��� DATE
AGENT/OWNER
ADDRESS /f' C/ d MT,• t 1-e, P-tom ST OcaeoS1, V6 TELEPHONE-ff3 !C'
ZONING/LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: C- � /1-6- ZONING
PROPERTY OWNER/CONTRACTOR:
CONSTRUCTION DATA: New Construction Addition Alteration
TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.)
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.
APPROVED DENIED
Plan Commission Action Required
Variance(s) Required
REVIEWED BY: Ad116 DATE: aArr?
ADDI!SS � 9��
DAT!_______ P!RMT 1025 use Si?
WL cons&sts of,
ZEIE COLT1II{' Oft
NON
CTPC? ENE
Width of lot_ DATE INSPCCTIONS
REMARKS
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