2006/09/13 - LAND USE - LUP - Other

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05107/2006 11: 04 3492166 B C ZONING PAGE 01 Sumett County 7410 County Road K,No. 102, Siren, WI 34872 Office of Zoning Administrator APPLICATION FOR LAND USE PERMITS U' A OWNER -T fn 4(/fll7' < Tl12PMONC 2 2_ / J '//06 I< a (A 50� MAILING ADDRESS (—'/fir .—� 1� Or�Co � ) PROPERTY ADDRESS W P(/ V J �/n l� ✓ x LEGAL DESCRIPTION J G n DWEWNf TYPE OF PERMIT(S): idBlU.-ILDING •G GARAGE/AC(;Ic55QRYOb IKULIURE O ADDITIONC3 STAIRS O FILLING/GRADING O CAMPING UNIT O BUNKHOUSE❑ 59.692(W)WE80 O DECK O ! G) Nor•, STRUCTURE/ADDTRON USE: e)� (Home/Cabin; (vommencial BUSineu: Bedroom: Deck;etc.) e_ ' A BUILDING CONTRACTOR: 40041 C 1t9dyk W I9 b A PLOT PUN MUST Be PROVIDED ON AN B XXX31 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS WILL BE RETURNED. Ir DIRECTIONS FOR PLOT PLAN DRAWING: LABIAL OR TOP VIEW) 1 L ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, re AND INDICATE NORTH (N). ti p© 7. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)OUILDING(S)TO ALL LOT LINES,(B)BUILDINGS) TO CENTERLINE OF ROAD,(C) BUILDING MEASUREMENT(B)TO THE ORDINARY HIGH WATER MARK L IJ (OHWM)OF LAKE,STREAM OR RIVER AND ME ASURCMENT TO WETLAND AREAS. C Z 4. SHOW THE LOCATION OF THE WELL(W),SEPT-C TANK(ST) AND ORAINFIELO(DP),AND ALL DISTANCES TO BUILDINGS, ROADS, LAKE,LOT LINES. S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. I� '� �' 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE PLANS MUST BE SIGNED AND DATED BYTHE OWNER. ro NOTE: BUiLDING(STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATIONM!BE DONE WHEN NEEDED. IS m pvl THIS PERMIT is SUB]ECT TO ALL CONDITIONS LISTED BELOW: a E. 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 3, NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. C 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER 3 SETBACK AREA. S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. S. NOT TO BE USED FOR HUMAN HABITATION. 8 7, 1 declare that chic apparAdon 111 udap any aCLOmpmylea putedule7 na bean atemiMd by ma and m Me bast M S and baler A Y wa,correct and complete. I acknowledge that I am responI III on tlsall and accuracy of all Info m nb e aprKl[nod In MIa applketlpl(Including any eceem=Ing acheduls)and I further declare that I ret mot that this Information I .2 e ! > M prorWirq will be ralhd upon by M of 0wnaa Couney tt Wisconsin in determining whether to IMM a PanML I furMar accept Yt " ..+" :w v v Ileb11aY Mat may to a rauR of Ma County of 9umett relying an tlds kdbematlon I am pnvktaeq In Mb o v vwrmt county Wrote tlterged wIM aGruNaarmp ogunry ortlhrsnk or mats n 1 am x providing iding I this a as m Ila res too III C U u$ .r. deaaibed pramleas at any res a"I time M the Purppsa of maptatlen, iy � pay SIGN HERE � a C ( p'('n—off lawny ar bulmnppgntmtser) (deee) 5 y :e a i z ZONING ADMINISTRATOR U l r t 1 •^ $—It `a D•,' At ' on RV In TOWNSHIP PERM MAY aE REQUIRED _I ,w M: 0 THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE N g u;