Laserfiche WebLink
Fix A. --_4/L / <br /> Location of proposed structures and <br /> existing structures, well, sewage eye. <br /> tems, roads, etc., should be sketched <br /> 75 i4 2 �j in Fig. A. Include road setback, side <br /> and back yard dimension and lova. <br /> tion and setback from all bodies of <br /> water. If property is located at a <br /> 2 highway intersection, show the inter. <br /> A h secting highways and the setbacks <br /> ` AODi Tog required along them and at the in. <br /> tersection, together with vision clear. <br /> ance triangles. <br /> Wool) C°a,sTKUCT Ott b <br /> n8°J4 G�ovmlo PERMIT FEES <br /> 81°cr Land Use .. .6 1.00 <br /> lel $�H i Gff Building ... . . ....... .. ...4i!D <br /> l�*�+1 CCII Sanitary .... ... ..... . .. ..Well . ........ ... <br /> Septic Tank .... ........ ....� <br /> Combination Building, Sanitary , <br /> and Well . ................ 15.00 <br /> Conditional .... .. 10.00 <br /> Y �1 �,C ... . . <br /> Signature of Owner or Agent Date Zo g Adminiet ator <br /> ACTION Site approved (date) . . .. ... . . .... ... ...... ... ... .. .... . <br /> Permit Issued (date) .. ........L� /. ... Receipt No. �. .t�Yl.�/. Fee b.�`5.... .. . <br /> Septic Tank Permit Issued (date) .. . .�r!-'��.7: . ... . . . No. ...(. /.Y,A� Fee 61.00 <br /> Conditional Permit Issued (date) ....... . . ...... ........ . No. .. ... .... ... Fee 6.... .... .... <br /> Certificate of Compliance Issued (date) .... .. . .... ... .... . ... .... ... ... . . .... .. . .... ..4 . . ..4 <br /> Permit Denied (date) . ... . .. . ... .. . . .. . . . . .. .. . for the following reasons . ... . .. . . .. . ..... .... .... ....4 <br /> .. ...... .... .......... .... ...... ... ... ................. .... ...............4 ...... ...... .. ... . . ... ..... <br /> Work Started/(date) . . .... ... ... .... ... . . . . Work <br /> /Completed (date) . . ... .... . . 4. ... ..... ... <br /> INSPECTION Detd-r�If ).L 976..... . ...... ... <br /> .:..lr.. <br /> Remarks .. .... .... .... ..4.... ........ .. . .... ... <br /> . . .. . .. . . .. . .. . <br /> . .. .. .. .... . ... . ... .. .. .... ....... . ... . ... <br /> ... . . . .. . . .. . ... . . .. .. .. .. .... ...... ...... .... .... ... .. . ... . ... .... ... . .... .. .. .. ..... ... .... ....... <br /> RECORD <br /> Application to Zoning Committee (date) . .. .. .. . . .. . ... .... . Notice published (date) . .. ... ........ .... . <br /> Application to Board of Adjustment (date) . .... ..... . ... ... . Notice published (date) . .4 ................ <br /> Appealed to Board of Adjustment (date) . .... ... .. . . . . .. ... Notice published (date) <br /> Copy of Notice to DNR (date) . . . .. . ... .... .......... .. . ... ... . . ... . ... . .. . ... . ... .... .... .... .... ... <br /> Appeal Heard (date) ... .. . . .. ...... .... .... .... . Decision . .... . ... .... ..4 .... . .. . . .... .... .... .... . <br /> . . . . .. . .. ..... ... . .. . .. . .. . . .. ... . .. . ... . ... .... . .. .... . . . . .. . . .. . . .. . . .. .. .. I .... . .. ............. IJI <br /> Copy of Decision to DNR (date) . .... .. ..... ...:....... .... ... ... .... .... .... .... .... .... .. .. .. .. .... . I( <br /> f <br />