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(WZ)� <br /> eft County 7410 Co!Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator -U < o <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> u o <br /> y <br /> OWNER Pat Dennis TELEPHONE 715-468-4438 0 <br /> Q <br /> HOMEADDRESS 2618 Greenfield Road Spooner, WI 54801 CD <br /> r <br /> 0 <br /> EMERGENCY/FIRE NUMBER 2618 ROAD NAME Greenfield Road <br /> L 1 CSrr, <br /> P/� 3a-39-! SSS <br /> LEGAL DESCRIPTION (see to V receipt) � � <br /> DWELL INGIBUILDING L'J GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ PRIVY ❑ <br /> TYPE OF PERMIT(S): ❑ a T\ <br /> FILLING/GRADING ❑ CAMPING UNIT 11 SUBDIVISION <br /> N <br /> STRUCTURE/ADDITION USE: Home Residential <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) m <br /> BUILDING CONTRACTOR: CUsto715-634-3300 d <br /> 3141W. Old HWY 00 Hayward, WI 54843 <br /> CD <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR -n 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. 0 y <br /> DIRECTIONS FOR PLOT PLA DRAWING: (AERIAL OR TOP VIEW) n o <br /> -n <br /> T � �. Z <br /> 1. ALL REQUIRED DIMENS IONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n p x <br /> m T <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE C \ a <br /> NORTH(N). N <br /> 3. SHOW DIMENSIONS IN EET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO rn v <br /> CENTERLINE OF ROAD (C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF o <br /> LAKE,STREAM OR RIV R AND MEASUREMENT TO WETLAND AREAS. <br /> 4. SHOW THE LOCATION F THE WELL(W),SEPTIC TANK(ST)AND DRAIN FIELD(DF),AND ALL DISTANCES TO <br /> BUILDINGS,ROADS,LP KE,LOT LINES. <br /> 5. INDICATE IF A WALKOL T BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 0 <br /> E SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR, ETC.,THE PLANS <br /> 6. IF SEPARATE PLANS A I ?, <br /> MUST BE SIGNED AND DATED BY THE OWNER. 0 o <br /> �l o � 1 <br /> o p . <br /> NOTE: BUILDING/STRUC URE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAYBE DONE WHEN <br /> NEEDED. w <br /> z n ` <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT O <br /> ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. I <br /> 3. NO GRADING OR SHO ELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> PERMITTED. ,Q <br /> 4. NO STRUCTURES, INC-UDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER Vv <br /> SETBACK AREA. <br /> 5. ;o -U0 ; Doavz <br /> D 8L N N - 3 <br /> 6. o : m c y o <br /> y y O : O <br /> ID <br /> 7. _ cl) In <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my G) <br /> C <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of d o\ <br /> m <br /> 0 n <br /> all information contained i this application(including any accompanyi hedule)and I further declare that I recognize c <br /> that this information I am providing will be relied upon by the County consin in determining whether to is- IG) : <br /> may be a result of f y'yy�1. Ing on this information 1 am <br /> sue a permit. I further accept all liability which <br /> 'y. m <br /> providing in this applicatf n. I agree to permit county officials c ed t 'n ordinances or other m <br /> authorized person to have ac ss to the above described premise any reason o of inspection. - . <br /> CD - <br /> 01?01? �� ? ate) a <br /> SIGN HERE <br /> (signs of owner or building contr tor)(signs of owner or building tor) URIV, <br /> ZONING ADMINISTRATOR <br /> ANG $ c7 <br /> TOWNSHIP PERMITS MAY BE REQUIRED q <br />