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Sumett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zonhg Administrator ` <br /> APPLICATION FOR LAND USE PERMITS <br /> a. <br /> OWNER /' G,y,I 1 C! 1 l /CE�e LiT TELEPHONE 12— 5?/19_,F <br /> /D-9 9 11 <br /> -� <br /> MAILING ADDRESS <br /> h <br /> N© T �/� O k <br /> L3$ k/ �ake rrre ar wmv /�inn..pn /iE MV SgVD <br /> \ J <br /> PROPERTY ADDRESS (� y <br /> 1L106 W-es k Peih� 5 n 61)v,eof- tit <br /> LEGAL DESCRIPTION ` to f- 3CSM 2 08 $ <br /> TYPE OF PERKMS): SINGLE-FAMILY DWELLING ADDITION ❑ DECK❑ GARAGE/ACCESSORY STRUCTURE ❑ v' <br /> BUNKHOUSE O 59.692(1V)GAZE80❑ STAIRS ❑ FILIJNG/GRADING ❑ CAMPING UNIT❑ <br /> r ° <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE 0 S <br /> STRUCTURE/ADDITION USE: C4 <br /> (Home/Cabin; Commercial Business; Bedroom/; Deck; etc.) W <br /> BUILDING CONTRACTOR: Co„ A' <br /> JDl,7L�( er., /Kt 5c%oo / I&I .L/a . war-al W1 5YP13 8 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 W X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLAT PLAN DRAWING: (ARIAL OR TOP VIEW) a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C It <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, J it <br /> AND INDICATE NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES,(B)BUILDINGS) J <br /> TO CENTERLINE OF ROAD, (C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK OQ ' <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. p J <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. 2 <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. cu <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. 3 <br /> NOTE: BUILDING/STRUCiURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN ,..I ( t <br /> NEEDED. ( G O <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: �- <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. Z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 70 <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. (3 <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. W <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. 39 <br /> I declare that this application(moo any aeco npwvy g scimfule)has been wornkned by me and to the bet of my1,Ili,and belief <br /> kdormsstim containedRin thk app�nihyd any as sdi complete. ladmovviedgettat Idaho)and I iiaUbrr declare responsibleflorthe�i recognize Owt HIVs gam N y <br /> kdarmatlon I am provldag will be relied upon by the County of Burnett Wisconsin in determir"tNhether to Issue a permit. I <br /> NRhr accept all liability that may be a rtshYt of the County of Ounwit reMN on tlhN kAormadw I am provWhg In thb <br /> application. I agree to parrs[cmnty officials cl ar9ed with Wmketraunp county ordinances or oder auftrtned person to have <br /> access to the ahove-deaibed premhm at any reasonable time for the purpose of inspection. m .. <br /> / 5g '� >'880 8n <br /> OWNER'S SIGNATURE L�f��Lr1KL1 n $rARW�' N <br /> (data) a tl R 7" <br /> ZONING ADMINISTRATOR J(rn F fao l* 00 . <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE N 8 0 0 0 8 <br /> J�Z�rrcn { 4- ,Led h 5CLjroCL <br />