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` Bumetl County 7410 County Road K, No. 102, Sim, WI 54872 OOlce of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS = r --�- <br /> OWNER TELEPHONE. $ - <br /> RRnb /LYigS �/Z S?0- OS9L 6 <br /> a <br /> MAILING ADDRESS E <br /> 7009 C,RIPNFOA /,4 Al j�u4lGa�e mN SSOzs I ° <br /> PROPERTY ADDRESS 7—tV0 S5o tho, Fp�n.vJ 1�n../ �grl6Mwy f�) SHd3� o <br /> n / , <br /> LEGAL DESCRIPTION G � ,A) �yPP��� / tJ 3 <br /> TYPE OFRRMITLS): SINGLE-FAMILY DWELLING O ADDITION L-0 DKK❑ GARAGE/ACCESSORY STRUCTURE ❑ <br /> 2. <br /> BUNKHOUSE O 59.692(1V)GAZEBO O STAIRS O FILLING/GRADING O CAMPING UNIT Cl <br /> COMMERCIAL BUILDING O COMMERCIAL ADDITION O COMMERCIAL ACCESSORY STRUCTURE❑ / <br /> 'STRUCTURE/ADDITION-USE:'- <br /> (Home/Cabin/; Commercial eusine Bedmom; Deck; etc.) e <br /> BUILDING CONTRACTOR: <br /> 0 3 <br /> A PLOT PIAN MUST BE PROVIDED ON AN B W XII SNEEr OF PAPER. ANY INCOMPLETE OR DIEGIBLE PLOT PLANS z _ <br /> WILL BE RETURNED. O G <br /> DIRECTIONS FOR PLOT RAN DRAWING: (ARIAL OR TOP VIEW) m o <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. _ n <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW n 3 <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). __i z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES,(B) BUILDING(S) (. - <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK yj g. <br /> (OHWM)OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. __II p <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD (OF),AND ALL DISTANCES XJ <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. I5' <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. y <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. 'C <br /> / 1 <br /> NOTE: NEEDSSUILDING/STRUCIURE LOCATIONS MUST BE STAKED 50 AN ONSTTE VERIFICATION MY BE DONE WHEN .y <br /> NEEDED. <br /> t � IILNL3� <br /> THIS PERMIT 6 SUBJECT TO All CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN GO DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OFTREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. G A <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. 1 I <br /> 4. tic STRUCTURES, !INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. t✓ <br /> i ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. bT <br /> _- <br /> T'fd/c�' Efi <br /> B USED FOR HUMAN HABITATION. <br /> 6. � . <br /> Z ' � pagog oon gv � <br /> . Idaira Ilial tlr.noEoxbA BYadbR.m.®R.+nvyo.tlbiY)Ir beetanmMmtm u,BmUr trt e/ml' 3 ? � _. a.^.e"° C <br /> bi.nl.dP.oM btltlRbbe-PP (WkeIk*.W ..w .CPeMYIam IaWI ftm imc Ircegt det m • __a ' �1 <br /> Mandan m�NMlnBb.PPrnb.A(YtA.tip am saonpmybp edi.b4.)rk IARBrr btlr.tlKxnTopib tlretlb s.aamNi Y <br /> bfin metlm1.m MaYl�p wtr le �bo. VPa.IMUteca ofeened 1Ybtanbbe,ft I.p. est..h" I . <br /> NtIwF®Pt W C W Bbl nbl'b..n d tlr e4M W a wee t.MRI W fMf Mbnvam l.m CcaYidhV„Nb <br /> eppprRbn. laps.to p�mR muRy aRWltlelp.d aNl tltWbValYq maty a,dylblfO or plrroWwm.E WnRnro tW. ^ <br /> Mo <br /> a®..m fNe abw.4evmed pones atam r.oaWbten.ArctM M.W..of lnspembn. m a - O <br /> oq � oo$ ' <br /> OWNERSSIGNATURES ;1 y, y°_• m n Q_m O <br /> / / _ <br /> ZONING ADMINISTRATOR. _ ty� d� ” 'z : c: ° a m <br /> / TOWNSHIP PERM MAY BE REQUIRED ECR 1:J <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSU —MAY 5 2014 <br /> BURNETTCOUNTY <br /> ZONING <br />