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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 /> \21 �(� water. If property is located at a <br /> highway intersection, show the inter- <br /> 1 \1'� secting highways and the setbacks <br /> Qp/ required along them and at the in. <br /> tersection, together with vision clear. <br /> _ I ance triangles. <br /> z7 ZSR <br /> PERMIT FEES <br /> Land Use . .. ...... ... . .. ...$ 1.00 <br /> Building . . . . . .. ... . ... .. 5.00 <br /> Sanitary 11� <br /> Well ... .... .. .... .. .. .. .. . . <br /> .. .... .. .. .. .. . . 5.00 <br /> Septic Tank . .. .... .... .. ... 1.00 <br /> Combination Building, Sanitary <br /> and Well . ...... ... . .. .... 15.00 <br /> .. .. .. .00 <br /> . ...... .. .. .... ... . .... on �� <br /> o .. 10 <br /> . . <br /> u of Owner or Agent Date g 'AdA4_" <br /> C Site approved (date) . . . . .. . .. .. .. . . . .. ..�. . ... .P ........ <br /> Permit Issued (date) ..4.—. �. . Recei t No. �!.(. . . Fee $ ��:.. .. .. . <br /> Septic Tank Permit Issued (date) . . . .. .. . . .. . . .. . . .. .. . . . No. . .. .. .. . . .. . 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 /> ... . .. . . .. .... .... .... .... ... . . . .. . . . ... . . . . ... . .. ... . ... .... .... .. .... ... ... . . . I .. .... . . .. . . . . . . . . .. . <br /> Work Started (date) . . . . . . . . . . . .. ...... . . . . . Work Completed (date) . . . .. .. . . .. . ... .. . . .. .. <br /> INSPECTION Date . . . .. . . .. . . .. . . . . .. . . .. .. ... Inspector . .. . . . . . . .. . . . . . . . . .. .. . ... .. . . . . . . . . . . . .. . <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 />