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F18' A. Location of proposed structures and <br /> existing structures, well, sewage sys- <br /> tems, roads, etc., should be sketched <br /> i in Fig. A. Include road setback, aide <br /> ( 5 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 /> 7„ 11 n secting highways and the setbacks <br /> required along them and at the in- <br /> tersection, together with vision dear- <br /> ��� / ance triangles. <br /> PERMIT FEES <br /> lAnd Use .$ 1.00 <br /> Building .. .. .. .. . .. . . .. .. 6.00 <br /> Sanitary . . . .... .. . .. . .. . ... 10.00 <br /> Well ... .... .. .... .... .. ... . 5.00 <br /> Septic Tank . .... .. . ... ..... U <br /> Combination Building, Sanitary <br /> and Well ..... .. .. ... .... 18.00 <br /> . .... . OAdmini <br /> tional 10.0at o weer or Agent Date it <br /> ACTION Site approved (date) . . . .. . . .. . . . �. .... . . . . ............... ... <br /> Permit Issued (date) .. . . .. .. . �..^r�-~. .. . Fee <br /> Septic Tank Permit Issued (date) . .. .�3. 0-7.x.. .. . No. f l4S25Fee $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 Com leted (date) . . . .. . . . . . . .. .. . . .. .... <br /> INSPECTION Date . . . . . 7S Inspector <br /> Remar ... .. . . .. . <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 />