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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator n z <br /> APPLICATION FOR LAND USE PERMITS a <br /> 61a. 9i4 --733v 6,041 <br /> OWNER — i r)) SLEPHOT46 -3� 7R6 <br /> d <br /> MAILING ADDRESS la, 16D ,doe New Rk-Aivi"AD w C <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPRON �� CSYK <br /> /,Y <br /> fU C CLI( V <br /> SINGLE FAMILY DWELLING❑ GARAGE/ACCESSORY STRUCTURE❑ ADDITION.( STAIRS❑ o <br /> TYPE OF PERMIT(S): ,q <br /> FILLING/GRADING 11 CAMPING <br /> �U1N{T❑ BUNKHOUSE ❑ 59.6692(1V)GAZEBO f7 DECK 0 � <br /> STRUCTURE/ADDITION USE: _ (.,ALA Axd* a,j 1(efC ds r r()ml( Rvi.. J 8 Z <br /> (Home/Cabin; Commercial Business; Bedroom; Deck;etc.) <br /> BUILDING CONTRACTOR; to Im DPi 12 N I Gk (Se K ) <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 tri X11 SHEET OF PAPER. ANY INCOMPLETE OR II I EGM P'PLOT PLANS r' <br /> WILL BE RETURNED. <br /> o_ <br /> DIRECTIONS FOR PIAT PLAN DRAWING: (All OR TOP VIEW) n <br /> 6 <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. a <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW ,L„ o^ <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, m w <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES, (B)BUILDINGS) <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK(OHI, v <br /> S. <br /> 4. SHOWMOF THE LOCATIONNOOFFTTHOR RIVER AND E WELL(W), SEPTIC ATANK�,A DDDRA NFI LD(DF),AND ALL DISTANCES $5 y z <br /> 0 <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. 6v <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. O c <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY N ARCHITECT,ENGINEER,BUILDER, CONTRACTOR, ETC.,THE R 4 <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. 5 I I <br /> H <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO N ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. {I(-N��- <br /> THIS PERMIT IS SUB.IECT TO ALL CONDITIONS LISTED BELOW: <br /> r z <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. n I <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. t; Itil/�h <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER I <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. <br /> I declare that thle appiicatlon(including any aoc mparrying sdleduk)has been examined by me and to the beat of my knowledge <br /> and belief R is true,correct and complete. I acWwwledge that 1 am responsible for the detail and son racy of ell Inform len e 2 <br /> Contained In this applial(Inds g any accompanying schedule)and I fratlrer dedare that I recWdu that this Information I <br /> am provldklg wdl be relied Apar by the tasty of OrarrUt YMeaonekr In determarkg whMer to all a perm. t AnVrer accept as <br /> MabBly that may be a nal of the Casty of Burrett rslyl on this Yfaneation I am pi ldbg In this appawtlon. I apes to <br /> pen oounty oladab drarged with adMrrhhal ft oorsty or other authorial person to have access to the abo e 8 r1 <br /> deal premises at any time for the klspeNon• o m y=� <br /> 5 � o -., <br /> OWNERS SIGNATU <br /> -44 �5 wr <br /> 1S O <br /> 20NING ADMINISTRATOR <br /> TOWNSHIP PERMITS MAY BE REQUIRED I Ij fl��3 a «. <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF L LS E u 8 U <br /> IETT COI ' <br /> 7ONIR(_ <br />