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�Fig, A' ation of proposed structures and <br /> existing structures, well, sewage sys- <br /> tems, roads, etc., should be sketched <br /> 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 /> secting highways and the setbacks <br /> required along them and at the in. <br /> tersection, together with vision clear- <br /> ance triangles. <br /> PERMIT FEES <br /> 'o 9 7 S v Land Use . . . .. .. .. .. . . .. .. .$ 1.00 <br /> Building . .. . . . . .. . . . .. .... . 5.00 <br /> Sanitary . . . . .. . .. .. . . . . .. . . 10.00 <br /> Well . .. .. .. .. . ... .. ... . .. . . 5.00 <br /> Septic Tank ... .. .. . . .. .. ... 1.00 ✓ <br /> Combination Building, Sanitary <br /> and Well . .. .. .. .. . . . . .. .. 15.00 <br /> C ditional . . .. .. . . 10.00 <br /> Y <br /> "� `. . .. .. . ... .. .. .. .... . ... <br /> /.l � . . . <br /> Sign ure of a or ent Date ZoningAd strat� <br /> ACTION Site approved (date) . . . . .. . .. ... ... . .. .... . ...... .. ...... .. ... .. ... . . .. .. .. . . . <br /> ... <br /> Permit Issued (date) .. .. .. .. .l. . . . . .7y Receipt No. . ?GpwLO. . Fee $/�i .-". .. . <br /> Septic Tank Permit Issued (date) . .. ..../.Q.��31.�7.Y. No. Fee $1.00 <br /> Conditional Permit Issued (date) . .. . ... . . .. ... . ../. . .. . No. . . . . . . . . . .. . Fee $. . . . . . . . .. . . <br /> Certificate of Compliance Issued . . .. . . . . . . .. .. . . . . . . . . . . . . . . . . . <br /> Permit Denied (date) . .. . . . . .. . . . . . . .. .. . . . . .. . for the following reasons . . . .. . . . . .. .. . . . . .. ... . . . ... .. <br /> .. . . .. . . .. .. .. .. .. .... .. .. .... .. ... . . . . .. . . . .. ....... . ... .. ...... .. .... .. .. . . .. . . . . . . .. . . . . . . . . . . . . .. . <br /> Work Started (date) . .. . . . . . . . . .. ...... . . . . . Work Completed (date) . . . . . . . .. . . . . .. .... . .. .. . <br /> INSPECTION Date . . .. . :. Zor✓. . .... <br /> Inspector <br /> yv <br /> � . .. . . <br /> Remarks . . . .. .. C. . . ..!Z'?. . . .. . . . _'. '. . fro.. . . .. . . . . .. . . . . . <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 /> . . . ... .. . . .. . . .. .. ... . .. .. . . . . .. . . .. .. .. . . .. .. . . .. ... .. .. .. . . . . .. ... . .. . . . . . . .. . . . . .. . . .. .I . . . . .. ... . . <br /> Copy of Decision to DNR (date) . . . .. .. . . . .. . . .. .. ..... .. . . .. . . . . .. .. .. . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . <br />