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Burnett County 7410 County Road K, No. 102, Slren, WI 54872 Office of Zoning Administrator <br /> �/\ <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER `TELEPHONE('� / 3 ' <br /> MAILING ADDRESS � O. CSOX Z�Z-�J s't'Y�I lea 0.�er M1�1 SSogz � � <br /> � y76 5h4�tS 2d . �fed�fiC WS 7 <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION S <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING 0 ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE 9 <br /> BUNKHOUSEC3 59.692(IV)GAZEBO 0 STAIRSE) FILLING/GRADING 0 CAMPING UNIT 0 ,z <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE 0 <br /> STRUCTURE/ADDITION USE: <br /> = r <br /> (Home/Cabin; Commercial Busines room; Deck; etc.) <br /> BUILDING CONTRACTOR: One eA i<Jn IOJ <br /> keJ Y GDS JM o i IPrI <br /> A PLOT PIAN MUST BE PROVIDED ON AN 8 V,X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C o <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PIAT PIAN DRAWING: (ARIAL OR TOP VIEW) tri R <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 NEW m a <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, O v a <br /> AND INDICATE NORTH (N). J 1 c <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILIJING(S)TO ALL LOT LINES, (B) BUILDING(S) O <br /> TO CENTERLINE OF ROAD, (C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK m <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. g \ <br /> -- SNOW THE LOCATION OFTHE WELL(W),SEPTIC TANK(ST)AND GRAINFIELD(DF),AND-ALL DISTANCES- - <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES, UI II v+ SU <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. W y $� <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE J <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. Y) 00 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN 00 y L� D <br /> NEEDED. � <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: O <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELANO ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. E <br /> 6. <br /> 7 annn a v <br /> I declare Nat this application(Including any accompanying schedule)has been examined by me and to Me best of my " 0 9 a A T 9 j w 3 <br /> knowledge and belief it Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all m v E-E. <br /> Information contained in thK application(Inciudllg any accompanying schedule)and I further declare Nat I recognize Nat this 5.a a m;$ <br /> Information I am providing will b,reified upon by the County of Burnett Wisconsin In determining whether W Issue a Permit. I g S R $w <br /> further accept all liability Nat may be a result of the County of Burnett relying on this Information I am providing In this `c g <br /> app eauon. I agree to permit county omcials charged with administrating county ordinances or other authorixd person to have " p 44 <br /> access to the above-described premises at any asonale time for the purpose or Inspection K S 9'' A�Y <br /> Tda g 'g ~ <br /> OWNER'S SIGNATURE I D "`�_�� n a k m n +, O <br /> EMPSE <br /> I,xg� 6 ' M <br /> ZONING ADMINISTMTOR kTa V L� l! l5 m <br /> c" $ m <br /> TOWNSHIP P RMUS MAY BE REQUIRED OCT 18 2013 <br /> THIS PE If SHALL EXPIRE ONE YEAR FROM DATE OF IS CE N w 8«� <br /> BURNETTCOU <br /> ZONING <br />