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z <br /> Bumett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS = r <br /> s <br /> OWNERS TELEPHONE <br /> MAILING ADDRESS 5z! /� <br /> / / -//-b_POe4'n <br /> A s� 1/ /Y ,LO <br /> PROPERTY ADDRESS /4/O' V /moi O70GI / n e 4L o <br /> D L. ) <br /> LEGAL DESCRIPTION / `- <br /> TYPE OF PERNIRS): SINGLE-FAMILY DWELLING ❑ ADDITION DECK❑ GARAGE/ACCESSORY STRUCTURE❑ �+ <br /> BUNKHOUSE❑ 59.692(1V)GAZEBO CI STAIRS ❑ FILLING/GRADING❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 j�COMMERCIAL ACCESSORY STRUCTURE ❑ Q � <br /> STRUCTURE/ADDITION USE: <br /> 0 <br /> (Hoe/ bines Busne55; Bedroom; Detk; eK.) <br /> BUILDINGnCONTRACTOR:y57Leke <br /> FG 1 - 46 <br /> Pf�LePGG�-in-, <br /> % - % ANY <br /> I/fCf <br /> A RAT PLAN MUST BE PROVIDED ON AN 9 YAXll SHEET OF PAPER. INCOMPLETE R ILLEGIBLE PLOT PLANS- 'Q' o_' <br /> WILL BE RETURNED. a <br /> DIRECTIONS FOR PLOT PIAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. G S O <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW m <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). ry i e <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDINGS)TO ALL LOT LINES, (B)BUILDING(S) gsu <br /> TO CENTERLINE OF ROAD,(C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK .B' <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WET AND AREAS,AND(D)LOT DIMENSIONS. p ckj <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD(DF),AND ALL DISTANCES <br /> TO BUILDINGS, ROADS,LAKE,LOT LINES. a <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. -i <br /> 6. IF SEPARATE BANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE g <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. 3 i <br /> I <br /> NOTE: BUILDING/STRUCIURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. I 1�- <br /> TMIS PERMIT 15 SUBIECT TO ALL CONDITIONS LISTED BELOW: ((•��/fl <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. I 0 Z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE m <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> . SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> 1VO B/ElrED FQ rH�U�MA HABITATION. <br /> V' <br /> 6 <br /> ]. --� <br /> OD <br /> 6� 7J <br /> I declare Nat Nh appikc <br /> etion(aral.0m eery acmnpanymg edNdule)bes Gem emlrwE by me and W Ne beat of my ?m 3 <br /> knowkdM and b K b hub mrleQ and oanPlebe. I edmwNedge Net I am rcym lar Ne debll and atvrraeT'of all $, law E E- - <br /> bdwmatlon mrbha:0 N Nh aPpumtbn(bxAldbp am'a.amparyav )ena I AaBv ladam Nat I rtmptha Nat Nh <br /> NAJwl eao I am PrWIdMR wN be regN upon by Ne CaumY a dmrcn WKmrtan th deendnbig w1Am P m omen ft I 9 <br /> NrtAer On. I bg gaNYb/Net may be a reaEt rt rg Cau0.Y o<Bumcu rM ccu m Nle bdem W I am MwMNg In Ntt v '�C :n in"'_^Z' 'd <br /> appgoW I agree m pvmR moray aRblals diarged vAN adrnlnL�atlrig moray vmrmaa ar d}c euNo4tE Peron m Ime <br /> amen m Ne abmie-dwibbi et mry rtua,ebk fv Ne pepme al 4uon. m p .l a a+,N r1 <br /> Qg=cBg > <br /> OWNERS SIGNATURE !!779! <br /> I I��- Q ZOWNG ADMINISTMTOR U/�6� DL� g ? ����am <br /> TOWNSHIP PERMITS MAY BE REQUIRED 3 <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISS E <br /> f f sG1 dnr E a« �URNETT COUN u s <br /> ZONING <br />