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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 /> NN �7 in Fig. A. Include road setback, aide <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 /> 3p�w q required along them and at the in- <br /> tersection, together with vision clear- <br /> N <br /> V ance triangles. <br /> .�. PERMIT FEES <br /> Land Use .. ..... .... ...... .$ 1.00 <br /> Building . . . . . .. .. . .. .. .. .. . 5.00 <br /> Sanitary . .. .... .... ... ..... 10.00 <br /> Well . .. .. .. ............ ... . 8.00 <br /> Septic Tank . ........ .. .. ... <br /> V ~ , �- <br /> Combination Building, Sanitary --� <br /> and Well . ........... ... .Cl <br /> /Conditional �. .... � n <br /> a ur o e or Agent Date g Ad ^) ator� <br /> ACTION++ approved (date) . . . .... .. . 4P'. <br /> __ +� <br /> Permit Issued (date) .... .. .. . .W'.:.//. � .. . Receipt No. 5.�. 91 .. . Fee <br /> Septic Tank Permit Issued (date) . . ..J..SO:.� . . . .. . No. /4-V.. . Fee $1.00 <br /> Conditional Permit Issued (date) . ....... ... .. .... .... .. . No. . . . . . . . .. ... Fee $.. . . . .... .. . <br /> Certificate of Compliance Issued (date) . ... .. .. .. .. .. . . . . .. ... . .. .. .. .. .. .. .. ..... .. . .. .. ... <br /> Permit Denied (date) . ... . . .. ... .. .. .. .. . . . . . .. for the following reasons . .. .. . . .. .. .. .. .. .. .. ... . ..... <br /> ... . . ... ...... .. .... .. .. .. .. .. .. ..... ... . ......... ... ........ .... ...... .. .. .. .. .. .. ..... . .. .. . . .. .. .. . <br /> Work Started (date) . .. .. .. .. . ......... . ... . Work C ted (date) . . . .. .... . ....... . <br /> _ <br /> INSPECTION DateI Ga2� ��.. .- /.77 <br /> S.. . Inspector . . .'. �'=' �. ....... ... <br /> Remads�... .. .... ........ ..... ......... . . .. . . ... ... .... .. .... .. .. .... .. ... ............ <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 />