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z <br /> 3 <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator _ <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNERI41 /7e/� P TELEPHONE 'S 7_9.t'J' 2"I`�Sy <br /> MAILING ADDRESS 30 7 - <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION / O-)L / '5mvu/ <br /> TYPE OF PERMITS): SINGLE-FAMILY DWELLINEX ADDITION 0 GARAGE/ACCESSORY STRUCTURE❑ <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 9 <br /> C <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDITION❑ COMMERCIAL ACCESSORY STRUCTURE❑ = g <br /> Z <br /> STRUCTURE/ADDITION USE: O M e— <br /> (Home/Cabin; Commercial Business Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: J O / ,z n <br /> S YL <br /> e < <br /> AP LOT PLAN MUST BE PROVIDED ON AN B'/z X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PIANS �; - <br /> WILL BE RETURNED. '^ <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <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 NEWr <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, 1j <br /> AND INDICATE NORTH(N). O o YF7 .z <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 WATERMARK pl, <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 DRAINFIELD(DF),AND ALL DISTANCES <br /> TO BUILDINGS,ROADS, LAKE,LOT LINES. j � <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR,ETC,THE E <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 OO y <br /> NEEDED. /n <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: 1 n j- <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. z <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 <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. F <br /> 6. <br /> 7. F r <br /> I declare Nat this application(includin an atcom L <br /> g y ponying owlesile)has been examined e f r t and to Me best accuracy my <br /> knowledge a ontainel i in this applicettanticamplet any I acknowledge Mate�Iyedule)and Ifu ther scare th tI reoe that <br /> of all > = - <br /> infomutlon I am contained i ing will biicalien!tion(inducing onbya CxommmWurne Wisconsin in et further he her t resue a e permit. <br /> this _ o, <br /> infomwtlon 1 am Providing will be relietl upon by Me Countyof uMeAs Wisconsin in information <br /> whether vi Issue a Permit 1 ? T — <br /> appla,ation.further t greell topity that may be a result of the County of BwgetF on this inbrmation l am providing in this <br /> application. Iagreem permitwu fficia cM1 iM nistraH ounry ordinances or other authorized Person to n - ' g <br /> have aaess to the above4e able B the purpose of Inspection. <br /> emi _ <br /> OWNER'S SIGNATURE <br /> (date) I('T�,, Imo,E a'z r. - v2 <br /> ZONING ADMINISTRATOR �� nn E V = - 9 F a5 <br /> JUL172013 <br /> = a Pe <br /> a� Far <br /> TOWNSHIP PERMITS MAY BE REQUIRED = - <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSU = <br /> BURNETTCOUN - <br /> ZONING <br />