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7/5- — 14/'7 - 2 / 46 <br /> z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> a <br /> APPLICATION FOR LAND USE PERMITS : <br /> s <br /> ! 4� <br /> OWNER TELEPHONEs9c <br /> /`1Fl2/ L5/n0 Fi�T,�� 6 'i - 5"9 .? -9W-'1 e <br /> 0 <br /> MAILING ADDRESS <br /> 5 AOT EIC_'!? k � SS D S? o <br /> PROPERTY ADDRESS a <br /> SKY T <br /> LEGAL DESCRIPTION r <br /> TYPE OF PERMIT(5): SINGLE-FAMILY DWELLING ❑ ADDITION DECK ❑ GARAGE/ACCESSORY STRUCTURE v \ <br /> 0 <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT ❑ <br /> 71 <br /> COMMERCIAL BUILDINGG ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ c — , <br /> STRUCTURE/ADDITION USE: <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: 14 'W c/e_" 3 f->-a4'e—'5o <br /> (ooa8 Oevils CKe_ ed W bSaFr c <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 r/a X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o <br /> WILL BE RETURNED. — <br /> �n <br /> ° <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) i; a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. O <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB) AND ALL NEW <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, 9 <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) I P <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. O <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST) AND DRAINFIELD (DF), AND ALL DISTANCES T <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. f S. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. n ' <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC., THE <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEN , <br /> NEEDED. n �, <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: r- <br /> Ci O <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. H -J <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. U) <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER p '� <br /> SETBACK AREA. f l"11I <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. 01 <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. E <br /> 7, b� qy anon LlaOb <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my <br /> knowledge and belief R g Is true,correct and complete. I acknowledge that I am responsible for the detail and ac uracy of all m- d d <br /> Information contained In this application(Including any accompanying schedule)and i further declare that 1 recognize that this 5. D D m <br /> information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to Issue a permit. I m n $w' > <br /> further accept all liability that may be a result of the County of Burnett relying on this information 1 am providing In this <br /> application. 1 agree to permit county officials charged with administrating county ordinances or other authorized person to have <br /> access to the above-described premises at any reasonable time for the purpose of Inspection. m w o y <br /> > �oo � � y <br /> OWNER'S SIGNATUREa <br /> n 'A > ^ Z, O <br /> (date) �'. <br /> ZONING ADMINISTRATOR m (fil,r(vTr4,/l <br /> pF R til <br /> TOWNSHIP PERMITS MAY BE REQUIRED ` O <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE a <br /> �e/m`�-F �- lei-���0 �c-kid �p byGhuc���o�ksha� � �� 00000 <br />