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t. <br /> Bumett County 7410 Country Road R,No.102, Siren,WI 54072 Office of Zoning Administrala, g I C <br /> APPLICATION FOR LAND USE PERMITS <br /> owNeL 5<alxrf SSL pt ✓ Ny us�a TE(a °"e 7/ 56G -33 V(a o <br /> FROPFMY ADDR)35 <br /> ��Z �y LFl.ktvy.cr r 2d Sere,-� o <br /> LEGAL DESCRIMON <br /> T <br /> S I <br /> MAILING ADDRESS <br /> TYPE OF PERMIT(S): <br /> ❑ Single Family Dwelling - ❑Gaage/A¢essory Structure ❑Stairs ❑Commercial Building _ <br /> ❑Addition - ❑ Bunkhouse ❑ Hiling/Gading ❑Commercial Addition .� <br /> '❑.Deck /❑ 59.692(lv))Guebo ❑ Camping Unit ❑ Commercial Am SbuckneZZ <br /> STRUCTURE/ADDmON USE: <br /> (Home/Cabin;commercial Business Bedraanm;Derk;elc) +m (n o <br /> D <br /> BUILDING CONTRACTOR: O <br /> C y <br /> PLOT PIAN--INCOMPLETE OR ILLEGIBLE FGIBLE DLOT PLANS WILL BE RETURNED. <br /> < — x <br /> ***REQUIRED PLOT PLAN INFORMATION*** w <br /> ❑ 8%'X 11'SHEET OF PAPER DISTANCE(IN FEET)TO: is <br /> ❑ DRAWN TO SCALE OR D15TANCES LABELED ❑ WELL. <br /> ❑ PROPOSED BUILDING/STRUCIURE LOCATION ❑ SEPTIC TANK&DRAINRELD V <br /> b I <br /> 4Dimenaon5&Heights ❑ ROAD RIGHT-0F-WAY IF SURVEYED <br /> ❑ EXISTING BUILDINGS/STRUCTURFS(Includes deck,porch,etc.) -)CENTERLINE IF NOT SURVEYED 'S <br /> 4Dhnensions&Heights - ❑ ALL PROPERTY LINES p <br /> ❑ NORTH ARROW ❑ ORDINARY HIGH WATER MARK 5. <br /> ❑ ALL WETLAND AREAS <br /> IIfW Y' <br /> NOTE: Buiktiadiae rg/strukmamorate at be staked for le verification when needed. 61 <br /> THIS PERMIT IS SUSIECT TO ALL CONDITIONS LISTED BELOW: i •i <br /> • Remwi l or cutting of tree and vegetation is restricted along shoreline w <br /> • No strucb is Bndmdlrg reining walls,ein)are allowed kale$spedBpllY permitted <br /> • No filling,grading,or stare land alterations are allowed unless spedfiolly Permitted i <br /> • Orweway must meet width within 60 days of permit <br /> • Amory struck e4gaage penuts allow for private retiderbal storage orrly " ,z <br /> **Not to be used for human habitation or rental storage** n <br /> C Lp <br /> I dedam that this appiiokm(h clwiing mY a®. ,an ing a .iia)haz bean evntlmd by me ant m the tact ar my 4mwWw ad jPPP^ <br /> belirt k u toy mrreG ant oar�le[e. I advmWedge Mrt I am respomible for pm tlepil and am,rxy of all inromutlw aontatned m <br /> Ml apppotlr Ondudhg any aoomoW VTmg smedde)ant I mdbet dense e p I l not this Inra all <br /> fi bn ryowl n v 1 a <br /> colied spa,bT tla CaaatY of BurMat Vlr�madn In tlatrmm,bm9 nhahv m ire a permit [(wrvw aapF rap T a, U,rt may tan a <br /> resultM We Caumty or pumrttrery6gwtl,b inbmu,don[amp,orM'up in tlda apppmWn. Iagme to permitkmrty dToab Wrgm Q <br /> wiM adndniNalvg ommty oNinanva err Dino a,Mmriad permm o haw srwc Oo tla above-dewibrd pennies at aaI reammoMe <br /> tlme fortlu parlmte rt im,mmlbn <br /> —ADDmoNALCONDmONs— loci15a <br /> newm <br /> c�^T�i l �J/(/moi ^ `�so8000y <br /> OWNERS SIGNATURE ns? mkhqq nm <br /> � <br /> (drte) `ii Quern <br /> ZONING OFFICIAL <br /> **TOWN/UDCe for complying <br /> BEREQUIIand **TKLS lawsPMtMrT <br /> eming EXPIRE ONE YEAR FROM DATE OF and sten <br /> You are twit are r far 000tedn9 v,ith gate and federal laws mhosnirg mrlure W c rk�n or an wetlands, lakes,r in streams <br /> Wetlands tlffi are not violates <br /> with open waw an be r fflcdtcosts m identify. Failure tar comply mayrie;uftepart m rt of Nal or rtnodfiotion <br /> M mnds dean (hat vida�the law or amen perWdes ta mats For more s swA i nvisiti" the Departrnere d Natural Resource ..` . <br /> wdlerndS WeriOlfnatlm kvN page a mdada D�aMrerd of Natrral Remrppe5 aeryi2 mlhY. `"`~"g 0 o e'o <br />