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Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> z <br /> APPLICATION FOR LAND USE PERMITS V <br /> 952-J3t-'�4v( (k� <br /> OWNER � � � T� 5TELEPHONE <br /> no*� <br /> LIU <br /> MAILING ADDRESSi <br /> P,4L A.7"Je <br /> PROPERTY ADDRESS 9+3.03 fnr�T A,ae �''� (A/t U✓�- _ \ <br /> LEGAL DESCRIPTION <br /> jr-f1 Ca,aa vy3s, yz¢, �l�lZ, JP=¢Y/szjx, /s-�� i') <br /> THEW PERMIT(5): SINGLE-FAMILY DWELDNG O ADDITION O DECK O GARAGE/ACCESSORY STRUCTURE❑ <br /> BUNKHOUSEO 59.692(1V)GAZEBOO STAIRS FIWNG/GRADING0 CAMPING UNIT <br /> COMMERCIAL BUILDING O COMMERCIALADDIDOND COMMERCIAL ACCESSORY STRUCTURE D <br /> STRUCTURE/ADDITION USE: av iy"u,..r -Gv -/(-c L��¢.-- i <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> /ll,t<1y9�L� rur Rc b I <br /> 4 <br /> A PIAT PIAN MUST BE PROVIDED ON AN B Vt X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS s <br /> WILL BE RET➢WED. <br /> _ " b <br /> DIRECTIONS FOR PLOT PLAN DIMENSIONS O DIS(ARTANCES <br /> TO VIEW) <br /> iel <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO G SHOWN S/DRAWN TO SCALE. C, <br /> 2. SHOW THE LOCATION AND SIZE OF ALL NG DECK ,PORCHES <br /> OTHER <br /> RES(EB)AND ALL NEW — <br /> AND INDICATE <br /> (NB), INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, RJ <br /> AND INDICATE NORTH(N). <br /> 3. SHOW CENTERLINE <br /> FROAD, <br /> FEET OF THE FOLLOWING: (A)BUILDI THE ORDINARY ALL LOT IGHLINES,W (B)BUILDING(5) 5 101 <br /> TD CEM)OF LA . ROAD,(C)BUILDING WETILA D AREAS TO TME )LTDIM DIMENSIONS.WATER MARK - r <br /> (OHWM)OF LAKE.STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. <br /> a. SHOW THE LOCATIONTHE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES <br /> TO BUILDINGS,ROADS,,LAKE,LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMEN IS PLANNED AND SNOW AREAS TOGRADED FILLED. <br /> 6. F SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRAA CTOR,ETC.,THE I r� <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. r <br /> NOTE: BUILOING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSTFE VERIFICATION MY BE DONE WHENNEEDED. <br /> THIS PERMITIS SUBJECT TO ALL CONDITIONS LISTED BELOW: � <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 6D DAYS OF PERMIT. — z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. z O <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE U ED FOR HUMAN HABITATION.nJ'"' <br /> 6. Aan,(LW_ Mrf-K ji»^ * Xy0I N911A�e«.rf s6- 4411 Sb{.Gte4..,aF AGptYw(K s <br /> 7. dtpr (.Aare ve9w4( 56,I)e S1611;aa- Lwl reea'a"It .kllJ'f >d "D AfAuitf. - a > ^.^. >- e <br /> 333f � A <br /> I declare that Ibb application(in JWhv any a®rn asnyN9 sidbaWle)has been examined by me and m me best of my <br /> kno'wled9e and be31C n in;tim,mn G and mmp4[e. 1 abranned9e that 1 am responsible for Me UeleO eM atone,N a0 <br /> NmmutM mrttakMa b Mb aPWxatlon(hW WkW any aopompaminp Weak)erM 1 M1rNv Eemrt tMt 1 repegNie BM[INs -.> > <br /> inmrmetbn 1 em IaovWlrq wdl be rtbM upon by tAe owmy of BumeR Wls¢paN en de[ermminp wM1Wer m blue a pefm2 i c Rft <br /> > <br /> halter amPt ab Ilsbaay Beat may be a nbeAl of Me Omay of Sunned reNkq on MIs Nfamatibn 1 am Pr Ware,in On; e u�,. <br /> ew1kawn. 1 apse m pvml[mnlY aRltlab tluryetl viN InlstratN9 muMy wdeuim ar ogeraNMe12M peemn m bew — r <br /> e¢tn m tlq eawa-dembeG pmMtl N MY a mr <br /> Mebane of I tTbn. ~ E ;i _4 <br /> OWNERS SIGNATURE <br /> ZONING ADMINISTRATOR _ JOUIN <br /> ` mTWNSHIPPRMI7SMAY BE REQUIRETHIS PERMIT SHALL EXPIRE ONE YEAR FROM DATEEI Z013 <br /> BURNETT COUNTY <br /> ZONING <br />