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Fig' A. Location of proposed structures and <br /> / existing structures, well, sewage sys- <br /> tems, roads, etc., should be sketched <br /> �L in Fig. A. Include road setback, side <br /> and back yard dimension and loca- <br /> tion and setback from all bodies of <br /> water. If property is located at a <br /> highway intersection, show the inter- <br /> n setting highways and the setbacks <br /> required along them and at the in- <br /> tersection, together with vision clear- <br /> ante triangles. <br /> /�1 <br /> S7`t C, r PERMIT FEES <br /> i Land Use . . .$ 1.00 <br /> r A Y Building . . . .. . ... ... . . .. .. . 5.00 <br /> Sanitary . .. . . .. . . .. . . .. ... . 10.00 <br /> ( Well . ... . .. . . .. . . .. ... . .. . . 5.00 <br /> L c h Septic Tank . .. .... .. .. .. ... 1.00 <br /> ---- Combination Building, Sanitary <br /> -- - <br /> ., and Well . .. . . .. ... . .. . . .. 15.00 <br /> onal . . . . . ... . . . 10.00 <br /> i <br /> Signatu a of Owner or Agent Date Zoning Administrator <br /> ACTION Site approved (date) . . . . . . . . . .. .. . . .. .. ... . . .. . . .. . .... .. .... ...... . . .. ... . ... . . .. .. . . .. ... <br /> Permit Issued (date) .. . . .. ...//l.� �/7./. .,. . . Receipt No. PJ. x.10 Jt . . Fee <br /> cf <br /> Septic Tank Permit Issued (date) . . r..,l 1 . ._7.1 . . . . .. . No. 2.A5 J.73. Fee $1.00 <br /> Conditional Permit Issued (date) .. . .. . . . . .. . . r. . . . . . . . . . No. . . . . . .. . . .. . Fee $. .. . . . . . . . . . <br /> Certificate of Compliance Issued (date) . .. . . . . . . . . . . . . . . . .. . . . . . . . . .. . . .. . . . . . . .. . . . . .. . . .. . <br /> Permit Denied (date) . .. . . . . . . .. . . . . . . . . . . . . .. . for the following reasons . .. . . .. . . .. . . . . .. .. .. ... ...... <br /> .. . . .. .... .. .. .... .. . . .. . . .. .. . . ... . . . .. . . . . .. . . .. ... .. .. .... .. . . .. . ... . . .. .. . . . . . . . . .. . . . . . . .. . . .. . . . <br /> Work Started (date)�. . . . . . . .. . . .. . . .. .. . . . . . Work <br /> Completed (date)/. . . . . . . .. . . .. . . .. .. . . .. . <br /> INSPECTION Date,j— c, .-5: . . ��Q.��.. . .. Inspector <br /> Remarks . . . !f. .( .. .. . . . . . .. . .. . .. . . . . . . . . . . . . . . . .. . .. . . <br /> . . . .. . . .. .. . . .. .. . . . . .. . ... . <br /> . . . . .. . . . . . . . . . .. . .. . . .. . . .. . . .. . . . . . . .. . . . . . . . . .. .. . . . . . . . . . .. . . .. . . . . . . . . .. . . .. . . . . . . . . . .. . .. . . .. ... <br /> .. . . .. . . .. . . .. . . . . . . . . .. . . .. . . .. . . .. . . . .. . . . . . . . . ... . . . . . . . . . . . . . . . . . .. . . . . . . .. . . . . ... . .. . . .. . ... ... . . <br /> RECORD <br /> Application to Zoning Committee (date) . . . .. . . .. . . . . . . . . . . . Notice published (date) . .. .. .... ....... ... <br /> Application to Board of Adjustment (date) . . . . . . ... . . .. . . . . . Notice published (date) . . ... ... . .. ... ..... <br /> Appealed to Board of Adjustment (date) . . . . . . . . . . . . . . . . . . . Notice published (date) .. . .. . ... .. ... .... . <br /> Copy of Notice to DNR (date) . .. . . .. . ... .... .. . . .. . . . . . .. . . . . . . .. . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . .. . . . <br /> Appeal Heard (date) . . . .. . . . . .. . . . . .. .. .. . . .. . . . Decision . . . . . . . .. . . . . . . . . .. . . . . . . .. .. ... . .. . ... .. . <br /> . . . ... . . . . . ... .... .. . . .. . . .. . . .. . . . . . . . . .. . . . . . . . . .. . . . . . .. . . . . . . .. .. . . .. . . . . .. . . .. .. . . .. . . .. .. . ... ... <br /> Copy of Decision to DNR (date) . . . .. . . . . . . . . . . . .. .. . .. . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . <br />