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7�r 3c4 - 2i6 19 <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER TELEPHONE/. <br /> MAILING ADDRESS 0 <br /> -5z: Fwi a h , SS a S°-7 o <br /> PROPERTY ADDRESS <br /> '4071— <br /> O; /C. L.'C'et2 SK y &'�z t ` e W <br /> LEGAL DESCRIPTION C•: tr <br /> Ss � 7 <br /> T-- e ` c �it! t it s <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION EY DECK ❑ T GARAGE/ACCESSORY STRUCTURE w <br /> a <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS 0 FILLING/GRADING ❑ CAMPING UNIT 0 <br /> o <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE❑ <br /> STRUCTURE/ADDITION USE: tri-j6E _ o <br /> J <br /> (Home/Cabin; Commercial Business; <br /> Bedroom; Deck;,etc.) <br /> BUILDING CONTRACTOR: dt4 re c'tS• f�-aq(C,Seyjgril� l.- <br /> 6098 DNi IS to Ke- ed w-es-er- o <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8%X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C o <br /> WILL BE RETURNED. <br /> � n <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) o. <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C <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, P v <br /> AND INDICATE NORTH (N). - .3 N Y <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)-TO ALL LOT LINES, (B) BUILDING(S) I o 0 <br /> TO CENTERLINE OF ROAD, (C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK Q' w ®. <br /> (OHWM) OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. G <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. \ vi <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. �C.J <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 SO AN ONSITE VERIFICATION MY BE DONE WHEN , <br /> NEEDED. T' g <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: r ,5 <br /> a <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. a d <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. y z .� <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. (Ji ;a <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. 1 �Jl <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. b�3 ;o anonn ob <br /> f; Zn3 .e g� w r� <br /> I declare that this application(Induding any accompanying schedule)has been examined by me and to the best of my 3 o <br /> knowledge and belief R Is true,correct and complete. I admowdedge that I am responsible for the detail and accuracy of all S w m <br /> Information contained In this application(including any accompanying schedule)and I further declare that I recognize that this a <br /> IMormatlon I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I <br /> further accept all liability that may be a result d the County of Bumett relying an this Information I am providing In this <br /> application. I agree to permit county offkials charged with administrating county ordinances or other authorized person to have <br /> access to the above-described premises a'�t'�any <br /> yy�Jreasonable time for the <br /> purpose of Inspection. <br /> OWNER'S SIG <br /> V V7Q/ // <br /> NATURE <br /> j a ^ >a r <br /> nw co mm�B_ 2 <br /> date <br /> �h�., <br /> ZONING ADMINISTRATOR f! ) PjA�( n � °_ A '75 r`'M <br /> TOWNSHIP PERMITS MAY BE REQUIRED a <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FRPM DATE OF ISSUANCE ^N»»M G <br /> JQPIf'Y)`c+� �e ���0icod �'0 lot, G'hucv-B1-ak-sha�� , J�$ <br />