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S ometl County 7410 Co.Rd.K,No.102,Sinn,WI 54M office of Zoning AdmIniOM W &1101 <br /> v ro <br /> APPLICATION FOR — LAND USE — PERMITS <br /> TO THE ZONING ADMINISTRATOR:The uriffmigrm 1prWy,mak"application for a Pam*for On work decal 3 <br /> breed as eno meek. The urxMrsvw ayew ThatW Wok$ W be done inaccords p wkh the repuirertNM oft <br /> Burnet County Land lee OrdMnce.Sensation Code.and with all Other applicable County Ordinances end the I and ?; <br /> regulation of the Stere of Wisconsin. G <br /> /_ e <br /> OWNER 4 I TELEPHONE � � E <br /> s <br /> ADDRESS I IC d, �' 3 <br /> j ��� 1ALL —9L801 L <br /> EMERGENCY/FIRE NUMBER / / q ROAD NAME <br /> LEGAL DESCRIPTION (nee viz recelfM <br /> CONTRACTOR F-0- �-- O� <br /> 4- <br /> TYPE OF PERMR(S): DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE_ADDITION 4 <br /> SANITARY PRIVY FILUNG/GRAOING CAMPING UNIT_ SUBDIVISION <br /> STRUCTURFJADDMON USE: L-r U/n ryK� B <br /> (Homs/Cab n;CommerolAl Bueirnas;Bedroom;Deck;ete.l i <br /> 0 <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (Aerial of lop view) <br /> 1. Show the location and size of all existing buildings(ES)and all new buildings(NS)and Indicate Non (N). <br /> 2. Show the location of the well(W),septic tank(ST),and dralldlald(DF). 5 <br /> 3.Show dlmenslona In feet Of thef011owing:(a)building to all ill anes,(b)building to center line of food,(C)I Wilding .1 <br /> ms "Int to the ordinary high water mark of lake,stream,or river. <br /> 4. S separate plans an submitted by an architect,engineer,builder,eomractor,efc.,the plana mud be Ng ved and a <br /> doted by the owner. 0 <br /> NOTE: BULDIN[VSIWICTVRE LOG17xNJS MUST BE STAT®FOR ONSITE VERIFICATION BEFORE A PERMIT CAN BE IS BLED. Tt y <br /> PLOT PLAN 91 S <br /> See OILI �/4 C <br /> A IF <br /> MW Lot ha4 ©ueh- I AGI&f <br /> Neo u <br /> 'N:6Y' I-Y <br /> 1p=W �..,0 - liras PO Jet,AA `fU / <br /> c� Ion SePein(�a� pA� z-, ( k S�rw �rA e s <br /> U.i�} �ro�ot.fG1 /dOta�Tleh o <br /> 1: <br /> A <br /> a <br /> S M <br /> CONDITIONS OF PERMR: � � �C <br /> t. DRIVPERMITEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN W DAYS OF PERMISSUANCE. c ` l i 1 <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION 15 RESTRICTED ALONG SHORELINE. 1 a <br /> a. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. C <br /> i C <br /> 1eeolw thatthisIt sinus, ion(ct andicowrye.I acknowledge <br /> schedule)thtIam beneiafor thby me lsand to the Get of YkoOwH <br /> edge ane beliefItle mus,correct andcomplete.a.I accompanying <br /> tent Nam roand I to s, IMarWIcent ognl accuracyOfIMOrm► �E <br /> tion on I an p In IMa will be fa led u(including any ecmmpanof Ill even Wisconsin <br /> and I further dellen that I then to u that his Nfor. 8 p <br /> motion 1 am providing will hi relay upon s me County of of So Wi rely In in 0 is Info ma I an to view permit.I $ <br /> lurlurseeept W to perm t con may G■*cull of int County of Somali county o on inlet inhxmatbn I aril ized po n toe app <br /> Tessaplication.I sgrse to perms ood pr o lge,a my reaIla leminvilMne ppse of I nspe ti olur authorized M n to hew ' <br /> edw IO the Wove daaentree p*mlMe at wry nwnebN time for Ice purpose o Melreelion. <br /> SON HERE r <br /> ( M of building conlractop peel „p <br /> ZONING ADMINISTRATOR <br /> xM <br /> TOWNSHIP PEANUTS MAY BE REQUIRED o C% 8 'yr>,S m <br />