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L,v ice'—170 ' I PAX:? <br /> umott County 7410 Co.Rd.K.No.192,Sian,WI 64572 'Tues 01ikB oT lon1"AdmiRlstrator <br /> APPLICATION FOR LAND USE PERMITS <br /> u1er� (oS(— 77o—,3941 <br /> wmm ,DAVID EJ til '/ ►IDnIE Lest-- A13 9-/5�3rfe g� <br /> AILING ADDRESS /o 571 ' Si-W V T t Ll-WArIFP— MAI 5✓W�j� � O <br /> faOPMYADDRESS AlVG- P/NC LN � <br /> PLAT 40Q 7wN h}p A/G- !j ) <br /> EGAL DESCRIPTION(sea tea reosttU — !. O 414 LO t' / C SM I<.1 Pex w4- <br /> a <br /> DWEWNWWTLDIN0 ❑ G Mrey.CCESSORY aTRNCTURE ® ADDrrKM ❑ `� W✓ �� <br /> YPE OF PER1dIT(S): FILLIN"AAOYiG ❑ CAMPING UNrr ❑ Suat�"ON ❑ <br /> �+C - P Ir A Al <br /> TRucfuf>�loomvaus� ' <br /> (HomalCesin:Canmarwl Busfncss;Bedroom:Oedc:etc•) <br /> 0 <br /> u&DWGCONtRACTOR: SEC F -4 <br /> PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 0%X 11 SMEET OF PAPER ANY INCOMPIfiTB OR <br /> lEr,=A PLOT PLANS WILL Be Mffm MD. <br /> 4J EICTIONS FOR P'nr PLM DRAWING: (ALRIAL OR TOP VM <br /> ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALL M j0 <br /> SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EBI AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> s <br /> MORTH(1t). <br /> SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES.(B)BUR DINGS)TO rn <br /> CENTERLINE OF ROAD,IC)MU MS($)MEASUREMENT TO THE OWINARY NIGH WATER MARK(OMWM)OF <br /> LAKE,STREAM OR RNER AND MEASUREMENT TO W t?nLAND AREAS. <br /> SHOW THE LOCATION OF THE WILL(W).SEPTIC TANK(ST)AND DRAIN <br /> (OF).AND ALL DISTANCES TO <br /> "LUNG$,ROADS.LAKE,LOT LINES. <br /> INDICATE p A WALKOUT BASEMENT IB PLANNED AND SHOW ARE"TO OE GRADED OR FILLED. <br /> M WpARATE PLAMS ARE SUBMITTED BY AN ARCHITECT, EM MINK WftDER,COMTRACTOR.ETC THE PLANS O <br /> MUST BE SIGNED AND DATBD BY THE OWNER. <br /> TOTE: BUILDINGfSTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATKIN MAY BE DONT W"gM 3, ' <br /> NEEDED. <br /> HIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. <br /> ONDITIONS OP PERMIT: <br /> DRIVEWAY MUST MEET DRNEWAY WIDTH REOUIREMENi3 WITHIN e0 DAYS OF PERMIT <br /> ISSUANCE. <br /> REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 01 <br /> ALTERA0 <br /> NO GRADING OR 3HORELANDPfRM"TTION&ARE ALLOWED UNLESS SPECIFICALLY <br /> NO STRUCTURES.INCLUDING WALLS,ETC..ALLOWED WITHIN THE REQUIRED MATER L' <br /> SETBACK AREA. <br /> This structure to be used as private residential <br /> garagelstomIge only. Not to be used for human <br /> habitation _._ <br /> _ w: o <br /> declare that this apolcatlon(Including any aaoeipartylng solreduM)has be"mamMed by me and to the Mat of my I- ' <br /> dorrledge and bents B IS true,camel and oa0lP1101e. 1 nknmiodga OW 1 aM pm WI for the datalland ecWraey of €L j <br /> a Cho" Arid l fw" dadare that I ea/aanba I <br /> al Intonnadea em"md In Nle appNeadoa(hmkw Ing W aeeempapllna ; <br /> A*this informatlon I an p idiag TA be rolled upon by the C"W of Bul"S Wlaoaaln In del nshft wh dw to h>• <br /> uII�s a Pow t haUar accept all salimly*hien any be a result of sw Counq d BurMtt"lying On IAN InTo►rnallon 1 am I- :abridir g In this W01001110n. I agree 10 permit cotidy aMcfals charged with adlnlala"Om eolady ord)nanaas or other in <br /> ukherlaed person 10 accem to the above dwo bell nt at areasonable ame for the of 111106COW&- 04 <br /> 10 HERE p of awar <br /> 9NIN0 ADMINIBTRATDR � ' � <br /> Y�MNMiG <br /> TOWNSHIP PERMR8 MAY t3!REQUIRED /V�( <br /> TOTAL P.01 <br /> TO•d <br /> bb:21 z00z-5 T-�fld <br />