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10/03/2008 16:15 651--699-7031 FEDEX KINKO'S 0503 PAGE 01 <br /> 10/93/2008 13:08 3492166 s C ZONING PAGE 02 <br /> E3umett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator . <br /> APPLICATION FOR LAND USE PERMIT'S <br /> -t-�1 TELEPHONE �� '- 66 3 h9Q q Lam\ <br /> OWNER C R LL m <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION 16.E CS MV l57' Ig'-� 5�5 CW S/Y17� s <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDU ON I7 DECK O GARAGE/ACCESSORY STRU URI ' S <br /> BUNKHOUSE 0 59,592(1.V)GAZEBO O STAIRS 0 FILLING/GRADING 0 CAMPING UNIT❑ r <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE 0 <br /> c c <br /> 5TRUCTURE/ADDI'fION USE <br /> (Home/Cabin; Commercial Business; Bedroom; DedK; etc.) <br /> BUILDING CONTRACTOR: r <br /> L4 L+ —30CoCv <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Vt X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C <br /> 2.WILL BE RETURNED. q <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARTAL OR TOP VIEW) <br /> I, ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW �~ <br /> BUILDINGS/STRUCTURES (NS),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, DQ <br /> 7 <br /> AND INDICATE NORTH (N), P <br /> 3, SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (8) BUILDINGS) G <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENTS)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. t] <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD (DF),AND ALL DISTANCES <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> S. INDICATE IF A WALKOUT BASEMENT 15 PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <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 /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN .t 5 <br /> NEEDED, .- r <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW; - IC p ' <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. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4, NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDEN11AL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. ag <br /> 6. <br /> 7. <br /> dy > 7 <br /> x <br /> I declare that this aDD1lGatlan(including any necompamrinp schedule)has base e>mmihrd by me and to the bP_4t of mY <br /> knowledge and belief It Is true,correct and opmplate, i acknowN_dpa that I am responsible for the detail and accuracy of all F H <br /> Information contained In this aPPlicanon Olnduding arty accompanying;schedule)and I further declare that I recognize that this 91 Y m s j. i y <br /> Information I am pm�lding Trip railed upon b She Co aumett grlmonaln In determining whether to Issue a pe"It, I F P'u �!! p <br /> further aoeapt ol1 ilabrpty dent m y k n BumeC relying on thlz Information I am Providing In this FC <br /> application. I agree to poimk Inlstratlnp county ordinances a other authorized perSdn to Y; c <br /> i <br /> have access to the above-decal P b n e !Ime he purpose of ins „_ ! W 4}3 r 0 a <br /> OWNER'S SIGNA'fUR (deer) •y'C/l�/`�U( 7 S H <br /> o y� 7 <br /> ZONING ADMINISTRATOR �L m �C�YI E <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> TH15 PERMIT SHALL PURE ONE YEAR FROM DATE OF ISSUANCE Q•i 4y <br /> �w�'}'lb -� � � � !�✓ {�i6 � lig l�C' .�}e/ (�uv� CCV�Sf1C�C � <br /> /C1- t Y <br />