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m w z <br /> Bumex County 7410 County Road K, No. 102, SNen,WI 54872 office of Zoning Administrator a a <br /> APPLICATION FOR LAND USE PERMITS N aN <br /> 7 � <br /> OWNER TELEPHONE <br /> / cn) r 6ro� an.� /� 8(0l0'I-O77o-7 = (� Oho <br /> MAILING ADDRESS �' -7 -77 -7. m U S Y" 1a� /' �/ c S�"�1 �J•- S `7 O 4 3 I i <br /> PROPERTY ADDRESSa ? 7 Z 7 Y✓) U S Y r Ro f �,J �'I r S N 8 9 3 ; , <br /> LC-GAL DESCRIPTIONG S ✓ c <br /> Sec��ury Zq T wN /b /7enyr /S- Lah )-23 <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING O ADDITION O DECK O GARAGE/ACCESSORY STRUCTURE ((JJ 9 <br /> t c— <br /> BUNKHOUSE O 59.692(1V)GAZEBO O STAIRS O FILLING/GRADING O CAMPING UNIT O (N , <br /> v <br /> COMMERCIAL BUILDING O COMMERCIAL ADDITION O COMMERCIAL ACCESSORY STRUCTURE O <br /> STRUCTURE/ADDITION USE: z <br /> (Home/Cabin; Comme I Business; Bedroom; Deck,etc.) <br /> BUILDING CONTRACTOR: 10 zf S� �'•'S /,VQ i f i C la U C h"'r fu W (� <br /> n <br /> o � <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8%X11 SHEET OF PAPEIL ANY INCOMPLETE OR ILLEGIBLE P(OT PLANS C o_ <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) M 'a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. G' <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, /•1 ` <br /> AND INDICATE NORTH(N). o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDINGS)TO ALL LOT LINES,(B)BUILDING(S) <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM)OF LAKE, D)LOT DIMENSIONS. <br /> 4. SHOW THE LOCA71OOF THE WELL(W),SEPTIC TANK(OR RIVER AND WETLAND ��AND( <br /> AND DRAINFIELD(DF),AND ALL DISTANCES <br /> TO BUILDINGS,ROADS,LAKE,LOT LINES. rn r <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 4- <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER,BUILDER,CONTRACTOR,ETC.,THE Lv o <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. t n I <br /> NOTE: BUI DING/STRUCrURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN Aj .� <br /> NEEDED. ) <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: C Q <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. G A .� <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. O <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. gL� b n�aE � <br /> I dedam Mat time application(Including any aom panyi np sdneAde)has been exwni ned bV me and to the bast of my 3 all. .1.g.8. <br /> Iaowkdge and bellefR istrue,c 1 , and osnnple0e. I adnnorMdye that I am retparl l tar tine dowil andm <br /> aracy d m e G e ad b y <br /> Information contained in tlds application(Indulin➢any acco paoylnq sdnrdnde)and I father declare Mtt 1 recavene that nth c.^>m s - b <br /> btormallan I am pmNdlnO will be relied upon by the Canty of Bumed tYleowuan Inddwm**V wlwdw to irne a penal:. I <br /> hrdw amept al dabBly Mat may be a mgt of the Cmmft of Owns& dyl an Mk adannwilm I am 0 A ll nnp In this rE <br /> application. I same to permit County ollidals oheraed wft aftwistratIno oardy ordanareo's or oMs and wrized person to Lure <br /> saws to tine obore•dwotmil at any ressnmble time for the purpose of hwpedlwL to . 5 W •+ f] <br /> �z i/ O RSo>ogoss� <br /> OWNEI S SIGMATl1RE .�C�n 5 � (dobe) y >9 m 0 a 9 41 g� Z <br /> ZONING ADMINISTRATOR F <br /> Q <br /> "IG � <br /> TOWNSHIP PERMITS MAY BE REQUIRED C <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE H pN H H NN_ <br /> N N O O O O O <br />