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Fig' A. v Location of p oposed structures and <br /> existing struc res, well, sewage sys- <br /> roads, ex., should be sketched <br /> in Fig. A. Inc ude road setback, side <br /> and back yarl 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 /> Jt r S d C a�t ti required alongthem and at the in- <br /> p Or / tersection, to ther with vision clear- <br /> 1 r` oP �' 1. i q d ance triangles <br /> \�( VIs JQ/ PERMIT FEES <br /> Land Use . . <br /> S V/ . .. .. .. . . .. .. .$ 1.00 <br /> Building . .. . . . . . . . . . .. .. . . <br /> L o + AW /V--r Sanitary . . . . .. . . . . . . . . .. . .J0.00 <br /> Well . .. . . .. . . . .. .. .. . . . . . . 5 0 <br /> Septic Tank . . .. ... . .. . . .. <br /> Combination uilding, Sanitary <br /> and Well . . . . . . .. . . .. . ... 15.00 <br /> C itional . .. . . . . . . . . . 0.00 <br /> �r � � � <br /> . . <br /> Signature of Owner or Agent Date Zo ' g Administr <br /> ACTION Site approved (date) . . . . . . . . . . . . .. .. . .. . . .. .. <br /> Permit Issued (date) . . . . . . . . . . . . 7/. . .. . Receipt No. 22 Fee $�5:. . . .. . <br /> Septic Tank Permit Issued (date) . . . .. .7-00 .— t. . . . . No. / . 3 . . 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 Completed (date) . . . .. . . . . .. . . .. . . .. . . . . . <br /> INSPECTION Date . . . . . . Inspector ? �l.Q. <br /> . . .. . . . . . <br /> RemaJs. <br /> !(. . .i4 Lf. •4L•L c!6 . . . . . . . . . . . . . .. . . . . .. . . . . . . .. .. . . .. . . . . . . .. . . . . . <br /> . . . . . . . . . . . . . . . . .. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .. . . . . .. . <br /> . . . . . . .. . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .. . . .. . . .. . . . . . . . . . . . . . . . . . .. . . .. . . .. . . .. .. . . .. . . . . .. . . .. . . . <br /> RECORD <br /> Application to Zoning Committee (date) . . . . . . . .. . . . . .. . . .. . Notice published (date) . . ... .. . . .. . .. . . ... <br /> Application to Board of Adjustment (date) . . . . . . . . . . . .. . . . . . Notice published (da ) . . . . . .. . . .. . .. . .... <br /> Appealed to Board of Adjustment (date) . . . . . . .. . . . . . . . . . . . Notice published (da ) . .. . . .. .... . . . .... . <br /> Copy of Notice to DNR (date) . .. . . .. . . . . . ... ... . ... . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .. . . .. . . . . .. . . . . . . . <br /> Appeal Heard (date) . . . . . . . .. . . . . . . .. .. .. . . .. . . . Decision . . . . . . . . . . . . . . . . . .. . . . . . . .... .. . . .. . ... .. . <br /> . . .. . . .. . . . . . . . . .. . . . . . . . . .. . . .. . . .. . . . . . . . . .. . . . . .. . . . . . . . . . . . . . . . .. . .. . . . . . .. . .. . . . . .. . . . . .. . . .. . .. <br /> Copy of Decision to DNR (date) . . . .. . . . . . . . . . . . . ... . .. . . .. . . . . . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />