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Bumett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> /// �,p <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER Ci/IMI/s at/l!R'W'1/ 7/ 1g4�� TELEPHONE <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS �C) ,E <br /> 2AIA <br /> LE GAL DESCRIPTION ,/'L 7.39 R�tFw S /Dp �dae <br /> f <br /> Tye OT PFRr10(B): SINGLE-FAMILY DWELLING 0 ADDITION 0 DECK 0 GARAGE/ACC]cti Rv STRUCTURE <br /> BUNKHOUSE 59.692(1V)GAZESO 0 STAIRS❑ PLIING/GP/1DING 0 CAMPING UNIT O ,7 <br /> COMMERCIAL BUILDING 0 COMMERC ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE 0 I� i <br /> STRUCTURE/ADDITION USE:-6m&14— !!111402 GGG <br /> (Hoore(Cabin; I Su dines; Btlroorn;Deck; etc.) / <br /> BUILDING coNTRAcroR: ��o/L �af�ZSTg✓� C,cf,fS1 uC//%vw✓ / (/4 T g <br /> UJI��1�,a ��� DI A < <br /> A PAT PLAN MUST DED AN 8 W X31 SHEETo F PAPER. ANY 1NLOMPFIe uit PLOT FLATUS 0 IR <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR POT PIAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. p <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW a 9g <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). C> t+ <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES, (B)BUILDING(S) Sr ) <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK k <br /> (OMWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND (D)LOT DIMENSIONS. H 8g <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. (( w <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILL <br /> 6. IF SEPARATE PANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE ) <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. H <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN C <br /> NEEDED. N <br /> THIS PERMIT IS SUWECT TO ALL CONDITIONS LISTED BELOW: C <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. i 2 <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE, P <br /> 3. NO GRADING OR SHORELANO ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. H <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 RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. E <br /> 6. <br /> 7. 1�T > 9C �R <br /> I oedam Mat MK applo (F,tludlrp any ao e,, nylrp sUedule)Ns been enmlrlN by me and m Me beat of my 3 P �a 9B <br /> knowledge and belief It Ia true,cared and mm Patl <br /> Plate. 1 emo eledge ,at 1 em wo onobie for me Eetall and axon y a all to <br /> imad aoon mntawin time application(IndWino ule)and any aawnpanNn9 sd,ad1 lunher detlere Net I reco9niza that Mb E. <br /> > <br /> i Zmatlon I am proAding will W rolled upon by tla County M Bumett M'hton In in denrm rm whettar to Imre a Pw`mR 1 g M <br /> Fu der acupt all IbWlmy met may be a resole W the Cwnq O/eum dy neywq on Nis mlrnamon I am proylding In dike d <br /> mse <br /> application. I ann to Permit county oMdN arnanya <br /> ted AR eyNMatntlnp musty ordln m a Omar"'a"onZM PenOn to lay! R t�g51 n <br /> aaffi N ma eboyrdexiHbed Pemha M anY renaarlNMe a N,poa Inspedlon. g a5 <br /> OWNER'S SIGNATL 1 w 5E a¢ P 5 2 <br /> ZONING ADMINISTMTDR ` S E Pil <br /> TOWNSHIP PERMITS MAY BE REQUIRED d: <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISS( ETir C(`t.I y N MA 8 g <br /> ZONING, <br />