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41.11P Judo Uf'UUKSIIaW , h -I <br /> n S Y <br /> „ County 7410 County Road K. No. 102, Siren, WI 54872 OFEK=e of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> r <br /> OWNER �f(�/p„ w TELEPHONE 74p3 <br /> 3 —�-7I����5� c <br /> MAILING ADDRESS I / 71 �.s�/�SO/J �1�•.17.Dr ��y `' N 5ry 7 <br /> PROPERTY ADDRESSV Tis <br /> Gy�r' c1yvDA cA w�97 <br /> 9J <br /> LEGAL OfSCRIPTION t C <br /> SINGLE FAMILY DWELLING D GARAGE/ACCESSORY STRUCTURE O ADDITION ❑ STAIRS❑ 4 ,� <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING❑ CAMPING UNIT BUNKHOUSE O 59.692(1V)WZEeO� DECKLO Nl _ <br /> STRUCTURE/ADDITION USE: o <br /> (HomyCrbin;Com(m[cta�al/�Byu�siness;B�epYd�room; Deck;etc.) <br /> BUILDING CONTRACTOR:tt1.'ru« „����•s'••a•-� <br /> A PLOT PLAN MUST BE PROVIDED ON AN a Ya X11.SHEET OF PAPER. ANY INCOMPLETE pp ILLEGIBLE PLOT S G 3 U) <br /> WILL BE RETURNED, z < <br /> C _ <br /> i <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) r <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. I('q <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING eULLO1NGS/STRUCTURES(EB)AND ALL NEW r� <br /> BUILDINGS/STRVCFURES (NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, ',. + v1 <br /> AND INDICATE NORTH (N). 1 n <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BVILDING(S)TO ALL LOT LINES, (B)bUILDING(S) I� <br /> TO CENTERLINE OF ROAD,(C)BUILDING MLASUREMENT(S)TO THE ORDINARY HIGH WATER MARKT(OHWM)Of LAKE, <br /> 4. SHOW TH OCATIONROFPTKE WELL(W),SEPTIOR RIVER AND CTANK(STRAND DRAINFFIELD(OF),AND ALL OISIAFJCES AND(0)LOT DIMENSIONS. y �Wp <br /> TO BUILDINGS,ROADS,LAKE,LOT LINES. <br /> S. INDICATE IF A WAI KOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCMII LCY,ENGINEER,BUILDER,CONTRACTOR, ETC.,,,T14E <br /> PLANS MUST,ofiSWNED AND DATED BY THE OWNER. y <br /> NOTE: BUILQING/ST*QfURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE OMEN I <br /> NEEDED. <br /> THIS PERMIT 15 SUWECT TO ALL CONDITIONS LISTED BELOW: _O <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 40 DAYS OF PERMIT. � <br /> Z. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR$MORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC..ALLOWED WITHIN THE RCQUIRCD WATER <br /> SETBACK ARE A. �Ct)IJ` <br /> $. ACCESSORY STRVCTURE/GARAGE PERMITS ALLOW FOR PRIVATC RESIDENTIAL GARAGE/STORAGEONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. q5 = � <br /> 1 declare that ms appkatwn(including MW aceomPany'ry sChg&jr)has been examined by me all to the best of my ono lodge <br /> and palief R M Inn,mrtect and GomP4U. 1 iGbnpwlepgt Nit 1 am responsible forth!dltaa and itcwaty W ape./ .at . O R <br /> tonmined in this application(including any accompanying 1411mi kilo)and I furalar declare that 1 rK4gNit that this inform I y,C V i 7 <br /> am providing will be relied upon by Bre County of owmU VARonen in datemnlrung whethN to issue a pe I fuller at apt a1 M B M N y_ <br /> liability brat may be a ratult of the county d 0urnett Nbay on"Inferntadan I am Providing b'this appgcatlow, 1 aor"t <br /> permit wunty officials Charged o*O admnstraeRp county drdirranGa ar opnr sudwrlxei Person to naw+Gloss 10 lis aDo n `¢ i Y <br /> oesewbed premises at any reasonable b bfthh,purpow N wwqcpin. �i <br /> ' ^ , i3-a7 r <br /> OWNER'S SIGNATURE (date) �— hew $Q O A <br /> n <br /> ZONING ADMINISTRATOR I , I <br /> TOWNSHIP PERMITS MAY SE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> i0-)1+ -d- ie-�kfWeiled -k) 0NaB"ook6/Vt,3 b- JD-U) <br />