Laserfiche WebLink
_8umett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator a G <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNERj <br /> //a TELEPHONEy,- <br /> MAILING ADDRESS ) / - l�('f7 + yy/PpgP��/L/ ✓17t��J \ R <br /> PROPERTY ADDRESS /� 7��/- //s/ v I �C�L/& A/.t - /P/61r r `'��` �' qj '" <br /> / <br /> LEGAL DESCRIPTION I of � l�S <br /> Tree OF PERMIT(S): SINGLET---FAMILY DWELLING ADDMON 0 DECK CIJ GARAGE(ACCFSSORY STRUCTUR <br /> BUNKHOUSE O 59.692(IV)GAZEBO O STAIRS E) FILUNG/GRADING O CAMPING UNITEI '2 <br /> 9 <br /> r 3 <br /> COMMERCIAL BUILDING❑ CC/IXAMERCIAL ADDITION❑ CfQMMERCWL ACCESSORY STRUCTURE Cl <br /> STRUCIURE/ADDITTON USE: L/ / /7 a)X ac) -i' <br /> (Flo Cabin; <br /> Cornmeroal Burnes;Bedmom;Deck,etc) vm <br /> BUILDING CONTRACTOR: <br /> m 3 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 M,7(11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PIANS 0 <br /> WILL BE RETURNED. 'n (: <br /> m <br /> DIRECTIONS FOR PLOT PUN DRAWING: KABUL OR TOP VIEW) � C <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m a O <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW I <br /> SL <br /> BUILDINGS/STRUCTURES(NS), INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, I <br /> AND INDICATE NORTH(N). o 0 9- <br /> 1 SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(8)BUILDING(S) <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK wo I <br /> (OHWM)OF LAKE,Sll E OR RIVER AND WEIIAND AREAS,AND(D)LOT DIMENSIONS. - <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIEW(DF),AND ALL DISTANCES Ui <br /> TO BUILDINGS,ROADS,LAKE,LOT LINES. - <br /> S. INDICATE IF A WALKOUT BASEMENT IS BANNED AND SHOW AREAS TO BE GRADED OR FILLED. o a <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC,THE r <br /> PIANS MUST BE SIGNED AND DATED BY THE OWNER. 1 �/ <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN CJI G <br /> NEEDED. U7 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH <br /> REQUIREMENTS WITHIN 60 DAYS OF PERMIT. O <br /> 2. REMOVAL OR OR TING OF TREES AND VEGETATION O RESTRICTED ALONG SHORELINE C a <br /> 3. NO GRADING ES SHOLUDING RETAINING W ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> A SNO ETBACK AREpRES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER \' <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. 1' III�JJJ7 <br /> NOT TO BE USED FOR HUMAN HABITATION. E <br /> 6. <br /> 7. „ � � nnnong � <br /> x p 3 3 3 =2 <br /> ItleCarenat nisapplication <br /> tme,rWudin9anYamleen. l rgameaule7has Been eaaminetl Mna:arM to the bctof <br /> knowk49e am l,tltliefRutrue,mrratabm mY `�-.�.-.v'm � <br /> in formation mntainW in Nina Ilotbn Ontlua I mxompayletlutllube)a om77aeMtlmaeout Iamr ninedall <br /> PP ng am aaompanYing sa,etlukjarW[hHNm aedare Natlremgnize Wtnis mom $: ~ <br /> iirtomutbn I am PmvMug will he relktl VPwI by th Count•/Of BumeR WHmrvn in aetermlaing wheNm m lure a Plmrit l D <br /> NtHly am. I aB IUBiiity not may 4 a rewR MNe romAy d Rumen relying on Nis Infomml'pn lam ProvMin9ln nu - a'+ E: "- <br /> > : <br /> aPPlimtion. I agree b Permit mmAy olBdals tlurgM w7M aA nlatratlmJ muMy ertlinanmsor Ytlwr autlwrizM Person m n_: <br /> have awn m Ne aEme-0esaipM Premiss at am time fw Ne Wrpose of I � a D <br /> � ) m <br /> OWNER'S SIGNATURE L/ y� <br /> (Forel 3 H p`Z m n o c_Z <br /> ZONING ADMINISTRATOR1_ �0 <br /> Kc; �aM <br /> TOWNSHIP PERMITS MAY BE REQUIRED r - - <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE R ++II'����� - <br /> U 8aoo8 <br />