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Durn tt County 7410 County Road K, No. 102, Siren,WI 54871 Office of Zoning Administrator =ir <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNERc0\,� �� � �� TELEPHONE-1/5-3'7- YYo <br /> ---er. -. <br /> MAILING ADDRESS E J�.' [ / j� �,1, 1. `I 1 <br /> 3z� Lir-YtdAC,II:�)[� IAS. TYl�I](m Ll)�s JZIy/ (A )LLJry1 <br /> PROPERTY ADDRESS Ur4lyK Loo {P�wALI <br /> ,.e. J �,b��� <br /> wls, <br /> LEGAL DESCRIPTION f _ IJ 4 CSI rV a PQ-1 <br /> &V <br /> 1 i L0+G (� <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLINGZ ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE 0 _ <br /> BUNKHOUSE❑ 59.692(1V)GAZEBO ❑ STAIRS 0 FILLING/GRADING ❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION O COMMERCIAL ACCESSORY STRUCTURE❑ {� <br /> STRUCTURE/ADDITION USE:_0 Ann <br /> Home/p_b:io Commercial Business; Bedroom; Deck;etc.) <br /> _BUILDING CONTRACTOR: <br /> AP LOT PLAN MUST BE PROVIDED ON AN 8'/z%11 SHEET OF PAPER. ANY INCOMPLETE O0.ILLEGIBLE PLOT PLANS r j f <br /> WILL BE RETURNED. - Illrr`u,U` <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) T <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. r' - <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW d m C r <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(5)TO ALL LOT LINES,(B)BUILDING(S) <br /> TO CENTERUINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. <br /> 4. SHOW TME LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES O G <br /> TO BUILDINGS,ROADS,LAKE, LOT LINES. <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN-ARCHITECT,ENGINEER, BUILDER,CONTRACTOR,ETC.,THE�� lJ y <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. (31 <br /> Z) <br /> NEEDED.NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN f-Z) <br /> NEEDED. <br /> n <br /> THIS PERMIT IS SUBJECT TO ALL CONDRIONS LISTED BELOW: Dj <br /> 1. DRIVEWAY MUST MEETT E WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OFFTREES <br /> AND VEGETATION ISO RESTRICTED ALONG SHORELINE. _ <br /> 3. NO GRADING ESS NC-UDIND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> -4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WP.TER. RQ <br /> BACK <br /> 5, ACICEESSOR YSTRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. V <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> I declare that this application(including any accompanying schedule)has been ezamined by me anO to Ne best of my 3 O <br /> knowledge and belief it is true,correct and complete. l acknowledge that l am responsible for the detail and accurst,of all �' - - <br /> information contained in this application(including any accompanying schedule)and l further declare that l recognize that this E � YSN '., <br /> information l am providing will be relied upon by the County of Bumett Wisconsin in determining whether to issue a permit I <br /> further accept all liability that may be a result of the county of Burne"relying on this information I am providing in this <br /> application. Iagree to permit county officials charged with administrating county ordinances or other authorized person to '�' <br /> have access to the above-described sat y reasonble time for the purpose of inspection. _ ,H, > v�l� (I <br /> OWNER'S SIGNATURE - .m Firm <br /> YTOWNSHIP <br /> (date) . .ZONING ADMINISTRATORJAN 13 2014 P HITS MAY BE REQUIRED = <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANRNETT COU <br /> ZONING <br />