Laserfiche WebLink
Fig. A. Location 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 /> ='c �� setting highways and the setbacks <br /> required along them and at the in- <br /> tersection, together with vision clear- <br /> ance triangles. <br /> Ka ` PERMIT FEES <br /> 1�� a Land Use .. ... .. .. .. . . . . . ..$ 1.00 <br /> Building . .. . . . . .. . .. . . . . . . . 5.00 <br /> Sanitary . .. . . .. .. .. . . . . .. . . 10.00 <br /> Well . .. .. .. .. .. .. .. .. .. .. . . 5 <br /> Septic Tank . .. .. .. .. . 1 <br /> Combination Building, Sanitary <br /> and Well . ... . .. .. .... . . . 15.00 <br /> Conditiona . .. . . . . <br /> Signature f�ner or Agent Date Zoning Ad istrator4� <br /> ACTION Site approved (date) . . . . . . ... . .... . <br /> Permit Issued (date) .. . . . .C. r.�J �.,1. Receipt No. �/' . . . .')Fee $./5.... <br /> Septic Tank Permit Issued (date) .`Q.: . . . . . . . No. . . .Gf!Fee $1.00 <br /> Conditional Permit Issued (date) . ... . . . . . .. . . . . .. . . . . . . . No. . .. .. . . . . . . . Fee $. . . .. . . . . .. . <br /> Certificate of Compliance Issued (date) . ... . . . . . . . . . . . . .. .. .. . . ... . . . . . . . . . . . .. .. . . .. .. . . . . . <br /> Permit Denied (date) . . . . . . . . . . . .. . . . . . . . . . . . . . for the following reasons . . ... . . . . ...... .... .... . . .... . <br /> .. . . . . . . .. .. .... .. .. . . .. . . . . . . .. . . .. . . . . . . . . .. .. .. ... .. .. .. .. ... . .. ... . . . ... . .. . . .. .... .. . . . . .. . . . . . . . <br /> Work Started (date) . . . . . . . . . . . . . .. .. .. . . . . . Work Completed (date) . . . ./. .. ...... .. . .. .. .. ... <br /> INSPECTION Date Z!/�f-/Y.7-$p . .. . .. . Inspector .Qcux�✓t v!� . . . . . <br /> Remarks . .. .. . . . .. .. . . .. ... . . . .. .... . . .. .. .. ... .. ... .. .. . .. <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 />