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Sumett County 7410 County Road K, No. 102, Siren,WI S4872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS 3: <br /> OWNER TELEPHONE x C� <br /> k <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION /)� TION O N 04 Li 3r,4# (f�n -4- <br /> TYPE OF PMMT(S): SINGLE-FAMILY DWELLING ADDITION 0 DECK❑ GARAGE/ACCESSORY STRUCTURE ❑ t <br /> BUNKHOUSE E359.692(1V)GAZESO O STAIRS❑ FILLING/GRADING❑ CAMPING UNIT❑ g FF <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADOMON ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> STRUCTURE/ADDITION USE: z <br /> (HonWCabin; Commerftl Bim; Bedroom;Deck;em) \ <br /> BUILDING CONTRACTOR: ll \P� C (,� e✓) n�/C <br /> A PLOT PIAN MUST BE PROVIDED ON AN a'A X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o <br /> WILL BE RETURNED. v <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) to G <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(ES)AND ALL NEW m 'O <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N), o <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 O <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. o <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(OF),AND ALL DISTANCES . 00 <br /> TO BUILDINGS, ROADS,LAKE,LOT LINES. r H <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 w <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. 1T <br /> NOTE: BUIDING/STRUCTURE LOCATIONS MUST BE STAKED$0 AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. (� <br /> O <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: G -1- <br /> 1. <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 6 F <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 /> SETBACKAREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. £ <br /> 6. c <br /> 7. �X=e VarIQ/LC.e cE <br /> l ' 9 >n C, <br /> 1 r � sy <br /> 1 owned tlnet this of 4 Is tare,carved d a000eWnya d Mede)has bees ea p, rb W me and m BM but of cy o <br /> knowlelge and baMr a k trw,minae[and omlplRa. [aoleaMedge amt 1 am nmpemlbk for tlla daMl and uaraty of at �� m i CH <br /> Wormaom contaked In LMs appWeon(kKkWing any aacompaaykp adnedWe)and 1!odor dec me that I ramgniae that dnk E_ a m y <br /> kfoneabn 1 am p m4Wkj ail be rhea upon by the Courcy d 0woett WkcKddR In datamk*V WhWm to lone a Perch• I e: i S <br /> MMa accept as Iklbtuy that maybe a fund[d as County or aumaa reMq as dds lMarmanon I am povldmp m alk g _ <br /> apple 0w. I epee to panYt aountY oaldela charged Week adm4IltmAI q courty ardNam:ms a aha aumonmd permn to nava <br /> acorns to the above-dearrbed premum at my masonable Now fa the Pumm of IlupaaltaL <br /> OWNER'S SIGNATURE -6- awl <br /> ZONING ADMIMN -+ x L" <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> f ���r)�+-r le-1� m�L1 rel w KUJa-�l�lr�ee 1- <br /> I EI-1 L) U>wso��s <br /> Z/Z Dogs scs SIL uoiaeiS •..inN ,.daedS lad IV:ZI GOOZ/tZ/II <br />