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N M 00Ci08i200' 14: 10 349216E B C ZONING <br /> PAGE 01 <br /> ■ <br /> ■■■ umett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator tM z <br /> APPLICATION FOR LAND USE PERMITS F VJ <br /> OWNER TELEPHONE <br /> " /� ?1s=aY�sa9 z <br /> MAILING ADDRESS � ? 1 ' �s / t v O <br /> Y /C�/ S' cpm e rs c�� GV S .S�S�o a � <br /> PROPERTY ADDRESS 3. <br /> l ~ <br /> LEGAL DESCRIPTION c N <br /> N <br /> TYPE OF PF0.MR(5): SINGLE FAMILY DWELLING 0 GARAGE/ACCESSORY STRUCTURE 0 ADDITION STAIRS 0 <br /> FILLING/GRADING 0 CAMPING UNIT p BUNKHOUSE❑ 59.692(1V)GAZEBO 0 DECK Q <br /> STRUCTURE/ADDITION USE: )Ir-C U L <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) r- ? p <br /> 8 <br /> BUILDING CONTRACTOR: IF I wj}� <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLNS <br /> WILL BE RETURNED. <br /> OIRECT70NS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) 0 '^ e <br /> S <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 (EB)AND ALL NEW C <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, to -o <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS 1N 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 a <br /> (OHWM) OF LAKE, STREAM <br /> OR RIVER AND WETLAND <br /> 4. SHOW THE LOCATIONOFrTHE WELL(W), SEPTIC TANK(ST )� DANDDRAINO ELLD (OF),AND ALL DISTANCES O o <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> INDICATE IF A WALKOUT BASEMENT I$ PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> ,5r IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER,BUILDER, CONTRACTOR, ETC.,THE a 1 <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDrNG/STRUCTURE.LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN ^ I ' <br /> NEEDED. <br /> THIS PERMIT IS SUBJECr TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. Z :�/ <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. ° a <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 l <br /> SETBACK AREA. f <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. I 1 Q <br /> NOT TO BE USED FOR HUMAN HABITATION. S <br /> 6. <br /> 7ea59r Lim <br /> 7. R <br /> �. g.F a <br /> t declare gnat this appNratlon(Indudin an accom an n sch a "o ? B <br /> D Y D N 9 edule)has been examined by me end to me bat of my knowledge m . t0 <br /> end belle!R Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all Infermatlgn g �'a 'P `j <br /> contained m this application (Includingbythe <br /> any o r Sum Ing schedule)and I further declare MM i recognize that this Information I ^' j <br /> am liability <br /> thing will be relied upon by County <br /> tycounty fBurnett eumett Wisconsin In determining whether to Issue a permit. I further accept all <br /> liability that may be a chart o!the County o/ Ingcrelying on this Information I am providing M this application. I agree to <br /> described <br /> county Premises <br /> t charged with administrating the county Ordinances or other authorized <br /> dhcrlbed Dromises at any reasonable time forme purpose of In Amon to heves saeaa to the above- 5 <br /> spectlon, <br /> OWNER'S SIGNATU121 <br /> RE <br /> // Flo <br /> >(date) S'a <br /> ZONING ADMINISTRATOR �im F(a/1 (C� 3y(finn, $ >,p <br /> TOWNSHIP PERMITS MAY BE REQUIRED G; <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE g u <br /> P-e((Kt 1- -4- l P P ��keal t P ley K eve r e fG� lea .'&27L - D� <br />