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Sumett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Adndnistrator <br /> APPLICATION FOR LAND USE PERMITS <br /> t1Sl-k TELEPHONE �SJ-LJS7-D 70,7 <br /> MAILING ADDRESS 2. ~°2 j e In d 'm , -5 w.r S yS'3 0 � 4 <br /> PROPERTY ADDRESS 91 (� <br /> Z-MOSS_ �.� Lir �� y Wc'4�L7 LP1ce / w" �ycr oppp✓��� S <br /> LEGAL.DESCRIPTION �- <br /> Cav , L,kZ Sec. +ro., g yDN- Rt4w Lok S o <br /> TYPE OF PERABT(S): SINGLE-FAMILY DWELLING O ADDITION 0; DECK❑ GARAGE/ACCESSORY STRUCTURE ❑ w <br /> BUNKHOUSE ❑ 59.692(SV)GAZEBO❑ STAIRS❑ FILLING/GRADING❑ CAMPING UNIT O <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION❑ COMMERCIAL ACCESSORY f� <br /> STRUCTURE ❑ r �b <br /> STRUCTURE/ADDIT`VON USE CA it--N R <br /> (Home/Cab ; Com ercial Business; Bedroom; Delle; etc.) — ? - <br /> S <br /> BUILDING CONTRACTOR: / � 1tt=- <�7 Ai�-]"•"7�x�y�� <br /> S <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Jh X11 SHEEP OF PAPER, ANY INCOMPLETEOR ILLEGIBLE PLOT PLANS 0 3 <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AREAL OR TOP VIEW) 1C�� F <br /> t. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE M <br /> 2. SHOW THE LOCATION AND SIZE OF ALL DCI STI NG BUI LDI NGS/STRUCTURES(EB) AND ALL NEW f] <br /> BUI LDI NGS/STRUCTURES(NB), I NCLUDI NG DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEETOFTHE FOLLOWING: (A) BUILDING(S) TO ALL LOT LINES, (B) BUILDING(S) g <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S) TO THE ORDINARY HIGH WATER MARK <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND(D) LOT DIMENSIONS. 00 <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTI C TANK(ST) AND DRAI NFI ELD(DF), AND ALL DISTANCES <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES, m <br /> 5. INDICATE IFA WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 2 w <br /> 5. IF SEPARATE BANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE "I p <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSE7'E VERIFICATION MY BE DONE WHEN <br /> NEEDED. � -q n W <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> I. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN SO DAYS OF PERMIT. ^� I <br /> � <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 3 Y <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. 7tl <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. ACCESSORY 3TRUCTURE(GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HgqeeITATION. <br /> B. A) CL( r-h a/ (72ar00n-t<S -/v added . <br /> ^,T) annnnaoro <br /> I dadar thai this r R � R i 'I <br /> application true, <br /> ,Co rgng any ao ip tL. I p adhedule)has been responsible <br /> of r t e d to l a d G of my " F n I $$ <br /> lehoWadge and belief rt le trnme,correct and mmhhplete. t adphenledga that[ern reapocwlele far the detail and aooaaq of all R ' WEEP E a <br /> IlMmmetlon contained M this appic don(In du&V say soma panying Saba")and I further declare that I recognize that in* <br /> lm*cn tlen I am PnoAfto wi be railed Open by the COWRY Of Baaait W&Mnoh In debwmMpp whether to lam a Pa. I & $6 S y <br /> further amort an liability that may be a raadt of the County Of Burnell o to ro <br /> "Pikiddon. I agree ra permit COWRY dRWle dnrgad with adminletratinii county adlnemon 0r atm s provift le� `• "�' ro <br /> awes to the abmadaaalbad Iaami mj'_wryrrasaorwbla thus far ttw purpma or kwpadlwm. perms m have S c�,� W 8 8 n <br /> OWNERS SIGNATURE ( %�`%^�'7 T B Q�.!-lC. �•'/ l� r41 Q CBo�> 8`S-g <br /> n /_ <br /> in a_.ppc7w•n C✓ <br /> ZONING ADMINISTRATOR F/�/ //QQ� <br /> TOWNSHIP PERMITS MAY BE REQUIRED € p <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> 1 / " ^ ( /J/ � vIAy CNC MN NCIHG I <br /> /,5UCL{f(m,ll.. t�i.u00000 <br />