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Bumett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator `) <br /> 1 <br /> APPLICATION FOR LAND USE PERMITS 6: fl"� a <br /> OWNER \TELEPHONE 19 S 1-30 %_'�/'�3- L JJ cT <br /> lJ (P s <br /> MAILING ADDRESS I� <br /> PROPERTY ADDRESS l <br /> C <br /> 1�3 � y ��✓( s <br /> LEGAL DESCRIPTIONLole -sA v o <br /> TYPEOFPERMIT(S): SINGLE-FAMILY DWELLING l) ADIDITI DECK GARAGE/ACCESSORY STRUCTURE <br /> BUNKHOUSE 59.692(1V)GAZEBO STAIRS FILLING/GRADING CAMPING UNIT <br /> COMMERCIAL BUILDING COMMERCIAL ADDITION COMMERCIAL ACCESSORY STRUCTURE <br /> t IIo <br /> STRUCTURE/ADDMON USE: r^ Q R JTO( <br /> (Home/Gado;/�Co ercJal Business; room; Deck; etc.) <br /> BUILDING CONTRACTOR: "f <br /> O � <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Va X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PIANS F o_ <br /> WILL BE RETURNED. C c <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARLLL OR TOP VIEW) m <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 r' <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, Q o <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) G o ^\ <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK W` lW !� <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES (!J S to <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT 15 PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. , <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. �I <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. S <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET OF T F SY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. p n <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION [5 RESTRICTED ALONG SHORELINE. <br /> 1 3. NO GRADINOR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. Y� <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER CO <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY (� <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. E <br /> 7. z 'A � Doti LlD � � <br /> a 3 3 9 g A <br /> I declare that ids appliotion(InGtliW a am mpanyUM schedule)has been nmmbred by me and m Ne b &my 5 o j n n � S 2 w' <br /> knowledge and beW R Is true,ox i and complete. i atllmwlMpe that 1 an,resporrslple b the detall and aoxr aall m 2:6 <br /> Inca—don contained In[ is apWtation(bMucilm any aaompanylW schedule)and I Turtber declare IhM I recognize trot Nle -.D D m N <br /> Informauon I am preNdlrg Wil W relied upon by me County of Bonwnt Whmnsln In de�.,InIn whether to L ue a PermR. I <br /> A,rther amcpt all Ilabulty that may be a rvau of one anunty of Burd[reMy on this Nfgrrnation I am Wo,,dlog M <br /> epptimdon. 1 agree ta PemK county amclah Wrge4 wtth mnYNstratlng mrmty onllnar or m er authodl peen m have n O <br /> aoxss tp the above-dewlbed premises a[anY able Ibna Tor Wrpose oT InspeC n o N <br /> m Av �aw�gw ', <br /> � � na =Doss ; <br /> OWNER'S SIGNATURE <br /> o JcZ <br /> ZONING ADMINISTRATOR N B n <br /> TOWNSHIP PERMITS MAY BE REQUIRED MAY 1 2013 <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF IS COUNTY <br /> ZONING <br />