Laserfiche WebLink
I BUmett County 7410 County Road K, No. 102, Siren, WI 54072 Office of Zoning Admintaramr € g S <br /> APPLICATION FOR LAND USE PERMITS aflz <br /> OWNERl)t le, G C16,1.1 A. / .Prf IElEPHONE ( /�-34'h1,�9� <br /> f Y <br /> MAILING ADDRESS Nts. MTV, -<S'07;1 <br /> it, <br /> r/ �va.t d. G. QFIAbw sY930 <br /> LEGAL oI� <br /> - E5mmoN L of I � CSm� yyg3 .pNl Zn i�.., gweeb Llv.w•'s. N <br /> TYPE OF M:AMTT(S): SINGLE-FAMILY DWELLLNG O ADDITION O DECK O GARAGE/ACCESSORY STRUCTURE ClJ <br /> B <br /> BUNKHOUSEO 59.692(IV)GAZESOO STAIRS'X FIWNG/GRADINGO CAMPINGUNITO <br /> COMMERCIAL BUILDING O COMMERCIAL ADOITION D COMMERCIAL ACCESSORY STRUCTURE O R Y <br /> STRUCTURE/ADDITION USE: a:✓f -to 1plee Ft-""L <br /> �ct�Ti�1jP I ✓• <br /> (H0.c,JCu6fn; Ca mlla7 nm; Bedr ; Deck;etc.) <br /> -- ' BUILDINO CONTRACTOR:- .i_-1 — .P:t:'_(l"�c <br /> i <br /> A PLOT PUN MUST BE PROVIDED ON AN D N X11 SHEET OF PAPER. ANY 114COMPLETE OR ILLEGIBLE PLOT PLANS s C <br /> WILL BE RETURNED. r. E <br /> DIRECTIONS FOR NOT PLAN DRAWING: (ARIAL OR TOP VIEW) T � p <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE.OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW <br /> BUIDW GS/STRUCTURES IND).INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, Q <br /> ANO INDICATE NORTH(N). <br /> J. SHOW DIMENSIONS IN f Of THE FOLLOWING; (A)SUILDINCIS) TO ALL LOT LINES.(B) BUILOING[S) <br /> TO CENTERLINE OF ROAD,(C)DUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM)OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. <br /> 1. SHOW THE LOCATION OF IHE WELL(W).SEPTIC TANK(ST)AND ORAINFIELD(DF).AND ALL DISTANCES TTT <br /> TO BUILDINGS,ROADS,LAKE,LOTLINES. I- <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED, LI <br /> 6. IF SEPARATE PIANS ARE SUBMITTED BY AN ARCHITECT.ENGINEER, BUILDER, CONTRACTOR, ETC„THE s I;^ <br /> PUNS MUST BE SIGNED AND DATED BY TIE OWNER � _f <br /> NOTE: BUILDINGISTRUCTUJE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEN I I� <br /> NEEDED. ly nI <br /> THIS PERMIT 15 SUBJECT TO ALL CONDITIONS LISTED BELOW: r <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. I� <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION S RESTRICTED ALONG SHORELINE. a <br /> J. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. E <br /> 4. NO STRUCTURES. INCLUDING RETNNiNG WAILS,ETC.,ALLOWED WITHIN THE REQUIRED WATER U <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGF46FORAGEONI.Y. <br /> Nr✓O1I TOBEUSED FOR HUMAN HA9RAT9N. r (3o-IAL, <br /> Sc d . - <br /> 7. be- <br /> 1 amrP NM IM 1ppMttbn(NdudYq Fnr tlmtPMnIA'�P tertMel AlF Mtn CUrtMM h me e,W m Be EeII d nY ` 0 3 � 2 R <br /> bvrk9pe liN ltm l b true,mteC eM ttm�. I.doo.lNPe tMl l YI1 rtsoa,lSM W R11 ptd tb MXVtry[Y 10 c 6 G FL� y <br /> Ttam.tlo.tvtfAY4O N INa ARNodM(Mltbq l.tF 1lNtI�PN,N.O fdKdi/t7 W I Ntliv deGert ISVL I n:mpae do tlW I > <br /> MermvUen I lm tleHmro.a tb rtaed wm M w�rAY d ournea wbmwn b alebmrbiP w�r0w to imM 1 IMrTn0. i — <br /> T1lVMIP6bt4,•1GW q WtHRY OW nvy M.rlflA.M iM Cantu W aVn4R rW W m Mb RYb+netNt t em pPMup m Vn ���RKK �'%j! o <br /> .pI pN WIN OVM1v tlnP+i O,MPFC.1N.OMNORYIP IWMI Mdn/KaF tl PIM eWYNtd DtlfT b N.e � 3 ±�p_ Y Q <br /> ltdetl m aM eao+ldelblDN T.renbeT M em rmatWe qne b INe pV{RY d lapedl[n. -2..IC)_/� S E €��€ <br /> OWNERS SIGNATURE may, - NL �• `�tl>tild� L_ ,'„ 4� fJ <br /> IWO <br /> ZONING ADMIISTRAT <br /> / TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SMALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />