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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> 412- <br /> OWNER T k)VA I \AR��� Y TELEPHONE - - <br /> ur W Ka�c � �RSau 715- dsd-3 S'Si Ccab <br /> MAILING ADDRESS I gt(o2 G ( I(Lmil� �A�OM m55 /2Z_ <br /> lSD /'' <br /> PROPERTY ADDRESS /)pyuq 1Aro , l / • ( llr� Dns (yl t�"�- ) J <br /> � <br /> LEGAL DESCRIPTION W <br /> i�(D 0"1-032-2-yl- lb-3t,-3alSocxLc� '5_:w <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ D CK N GARAGE/ACCESSORY STRUCTURE E <br /> U DJ <br /> P(w,,Pq,- SAmr. 1-ootprtn j <br /> BUNKHOUSE 0 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT D j <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ c 3 <br /> STRUCNRE/ADDITION USE: — c <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR; U M L NT' S e3 LNC, O <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8%X11 SHEET OF PAPER, ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) c <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. - n <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW <br /> BUILDINGS/STRUCTURES IND), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, �. <br /> AND INDICATE NORTH (N), <br /> 3. SHOW DIMENSIONS IN 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 ) H <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST) AND.DRAI NFIELD IDF), AND ALL DISTANCES_ <br /> —'TO'BUILOINGS, ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. r W <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 /> �tC I <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. / <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: - <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. SY <br /> n Z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. p <br /> 3. NO GRADING OR SHOREIAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. I <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> ]. 2. 333n - - F <br /> I knowledge <br /> that this application <br /> true, <br /> (Including any omome. I ac schedule)has been examiresponsible <br /> of r t and to l a best ur cy 3 ? : _ _ 77_ <br /> knowledge and belief It is true,cornett and Complete. 1 acknowledge Met 1 am responsible for Me detail and accuracy of all > > ° , <br /> Information contained in this application(including any accompanying schedule)and 1 further declare that 1 recognize[M1a[this ? c=N <br /> Information I am providing will be relied upon by Me County of Burned Wisconsin In determining whether to Issue a permit. 1 - - : -d <br /> further accept all liability that may beta 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 auMonred person to have <br /> access to the above-descnpeI premkl at any reasonable time for the purpose of Inspection. <br /> y-30 - 13 »o _ <br /> OWNER'S SIGNATURE E''.rlt�� ME <br /> ZONING ADMINISTRATOR - _ r <br /> OWNSHIP PERMITS MAY BE REQUIRED MAY 3 2013 <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISS E - <br /> BURNET <br /> T COUN U V~- <br /> ZONING <br />