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Z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator aCA. ° <br /> APPLICATION FOR LAND USE PERMITS G; <br /> OWNERTELEPHONE -7 <br /> ATS— V/.A .�;��, 7,:_i <" � �irrr� , 3aJ. GIL � = a <br /> � v o <br /> MAILING ADDRESS I <br /> 700 P� ,� _ `�, <br /> Z✓G;H�� Z S+r.✓c�+s OIv'- w< S44�y, � (� ' � <br /> PROPERTY ADDRESS <br /> z � U'j'O Jo,tA i2 l Sia w 54 "7L <br /> 0 <br /> LEGAL DESCRIPTION r <br /> 0 <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING 0 ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE 0 m <br /> 5 <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 <br /> ro � <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURES r' <br /> 0 <br /> STRUCTURE/ADDITION USE: c)r/rF.,+O u'7r Si7N4 t•:4V��'b�lcn-T 0(it-7—�u,u.h Z <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: a(h:JIL �a= �cH L, S `JA,.,,L LIZ, Lel • c'S-i z_ <br /> n r• <br /> O p <br /> A PLOT PLAN MUST BE PROVIDED ON AN 81/2 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C 0 <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) m <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. c m <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, <br /> AND INDICATE NORTH (N). Z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES, (B) BUILDINGS) c ° <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK C7 <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 5 i <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> S. 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 o <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 T' y <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, n 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. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. I J <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. f <br /> 7. s y o 0 0 a toil <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my g o 4 R : R <br /> c <br /> knowledge and belief It Is true,correct and complete. 1 acknowledge that I am responsible for the detail and accuracy of all c m = m d a <br /> Information contained In this application(Including any accompanying schedule)and I further declare that i recognize that this > > m <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I E: 2ii as= <br /> further accept all liability that may be a es It of the Gounry of Burnett relying on this Information 1 am providing In this 0 <br /> application. I agree to permit county offlclals charg with administrating county ordinances or other authorized person to have a n 8 <br /> access to the above-described prarrh;eyall an rem able time for the u o R o 0 <br /> / /)/ Y purpose of Inspection. E ^ > o iA <br /> S o o g y <br /> J ( y <br /> OWNER'S SIGNATURE L -%/ �6--r) L] ity I w, I d o n „� C <br /> (date) <br /> o ad v xH <br /> ZONING ADMINISTRATOR E_C) txf <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> /m�4 le fYl 1 (le toCsu11 .Sleiv/+�� 3-4-11 <br /> v, 00000 <br />