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County 7410 County Road K, No. 102, Skein,WI 54872 ONitat of Zoning Administrator <br /> ~ e <br /> APPLICATION FOR LAND USE PERMITS <br /> _ ,,,,ffes� <br /> �'!Z C- Lr'I�LS :'V TELEPHONE -76 3-Z 4.y j,,3 <br /> IDDRESS �m : 7 76 7 1014-G tekv ' /✓. /Iri4,4T&621✓c, /)' / <br /> �Slrl <br /> ADDRESS waa>< b tx d(.„e -r rt mig14wh <br /> Or vaw,e v b.a 4'1830 .SJ <br /> ICRIPr10N 5774+a5 70 3cdeH ?� STa� Ee2.,sraN Mbar rs N9A°e�'i.✓� _ <br /> 4MR(5): SINGLE-FAMILY DWELLING O ADDTTI O O GARAGE/ACCE550RY STRUCTURE C <br /> BUNKHOUSE O 59.k92(iV)GAZE80J3 STAIRSFILLING/GRADING C CAMPING UNIT 0 I� <br /> OMMERCTAL BUILDING C COMMERCIAL AODBION O COMMERCIAL ACCESSORY STRUCTURE 0 <br /> VADDMON USE: /ys 1�o oke— z <br /> (Mame/Cabin;COmmercml Business;bedroom; Deck;am) P <br /> CONTRACTOR: (jct Ot,✓ P,)/VD '- Jrr n/ CH1 c L V• <br /> AN MUST BE PROVIDED ON AN B K X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE EGTNI E MDT MANS g <br /> ETURNED. ,, I� 8 <br /> IS FOR PLOT PIAN DRAWING: (ARIALOR TOP VIEW) PI <br /> LL REQUIRED DIMENSIONS OR DISTANCES TO Al SHOWN OR DRAWN TO SCALE. N <br /> HOW THE LOCATION AND SIZE OF ALL EXISTING BURDINGS/STRIKTURES CSB)AND ALL NEW <br /> UILDINGS/STRUCTURES(NS),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, <br /> NO INDICATE NORTH(N). J N r <br /> HOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)MALL LOT LINES,(8)BUILDING(S) O g <br /> T CENTERLINE OF ROAD,(C)BUILDING MFASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> )HWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. <br /> HOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(OF),AND ALL DISTANCES SU I i <br /> )VALDINGS,ROADS,LAKE,LOT LINES. w <br /> IDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW MEAS TO Be GRADED OR F.LLED. rr <br /> SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER„BUILDER,CONTRACTOR,ETC.,THE <br /> ANS MUST BE SIGNED AND DATED BY THE OWNER- <br /> ALDING/ UCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN 1U\1 11` <br /> EEDED. UU -4 l� W <br /> IIT IS SUBJECT TO ALL CONDITIONS LISTED MOW: <br /> UVEWAV MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 GAYS OF PERMIT. <br /> ?MOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. pp b <br /> GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERM ITTEO. <br /> ) CTATC. <br /> S,INCLUDING RETAINING WALLS,E ,ALLOWED WITHIN THE REQUIRED WATER o <br /> :CESSORY STRUCTUREMARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGUSTORAGE ONLY. �11 <br /> Yr TO BE USED FOR HUMAN HABITATION, g E <br /> I <br /> e. Ca,%4 ,su <br /> L Mia aDWoBon,ndaemnr any aaomproIod adudcin Aaa Oven eemnmid by r and bi Me Arlt a my <br /> Mr Ae o k A"us,covedpkW and caaling I ec ompoedbe Mch I ass rand a h Ar On dalA uod s agnial W iA <br /> am and m Ma W be mass(Inclwpm brN arC accaunty of u ma adMam)n in I ..w Madre IML l rembm o drK Mia <br /> I em aeribrot that <br /> Aa be 8 upon or Not Canal of eoarMr 1YYmrWe:n s k ft do l am p m Ain a hu; I pp �, <br /> •ve"toar Mel may ty•nab MRM Coanbr d sierra recon on rho seorme r o 1 em pmNan m MIs <br /> I above b permR 000sAy allklaA souped aMo edmelMtreunb pmoconetvo owdlurvocs a atlw eualsrtrad parson ID hers I ; <br /> r ehova-Oewtive po�nior oeaW�AM ame Por the purpoa a lmpoeba. E <br /> qmq ILI gi <br /> UGNATU <br /> (OW)q qg r§� <br /> 1MINLSIRATOR _ C, ID 28 ,GO/I i 8 <br /> TOWN P PERMITS M BE REQUIRED O• w <br /> THIS PERMIT SHALL EXPIRE ONE YEA FROM DATE OF ISSUANCE <br /> Perm-( 4--1ltfkrmatea fvTohn CrlLlds (n-a9-ii a s <br /> L'd M-999-911 sPP4o 06190 Ot ZO AON <br />