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Sumett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Adminl5l"Or H b z <br /> APPLICATION FOR LAND USE PERMITS P <br /> OWNER ML TELEPHONE G <br /> I In)0 (a�K ,233-3o L� �v1 J <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION c ;J �o� . Kul?.-0-3 � <br /> SINGLE FAMILY DWELLING GARAGE/AOCESSORY STRUCTURE❑ ADDITION ElSTAI ❑ S <br /> TYPE OF PERMIT(S): ,y <br /> FILLING/GRADING ❑ CAMPING UNIT❑ i BUNKHOUSE❑ 59.692(IV)GAZEBO ❑ DECK ❑ Q <br /> STRUCTURE/ADDITION USE: Z <br /> (Home/Cabin;Commerciall Business; Bedroom; Deck;etc.) o Pr <br /> BUILDING CONTRACTOR: O IW <br /> w <• <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 W X11 SHEET OF PIAPER. ANY INCOMPLETE OR DIEGIBLE PLAT a Im o <br /> WILL BE RETURNED. - < <br /> DIRECTIONS FOR PLAT PLAN DRAWING: (ARTAL OR TOP VIEW) J <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE 4HOWN OR DRAWN TO SCALE. nne •S <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING B ILDINGS/STRUCTURES (EB)AND ALL NEW O <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, to <br /> AND INDICATE NORTH (N). O <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: ( ) BUILDING(S)TO ALL LOT LINES, (B) BUILDI (S) a <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASURE NT(S)TO THE ORDINARY HIGH WATER MARK t <br /> (OHWM)OF LAKE, STREAM OR RIVER AND WETLAN AREAS,AND(D)LOT DIMENSIONS. st O z <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC T K(ST)AND DRAINFIELD(DF),AND ALL DISTA ES p. <br /> TO BUILDINGS, ROADS,LAKE,LOT LINES. e p <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED D SHOW AREAS TO BE GRADED OR FILLED. C7 YJ <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCH, ENGINEER,BUILDER,CONTRACTOR, ETC., E g. I <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. 91 <br /> H <br /> NOTE: NEEDED.LDING/STAUCRJRE LOCATIONS MUST BE STAKE SO AN ONSILE VERIFICATION MY BE DONE W EN <br /> THIS PERMIT L4 SUBIECT TO ALL CONDITIONS LISTED BELO1rl: 91 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIRE ENTS WITHIN 60 DAYS OF PERMIT. <br /> O <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION S RESTRICTED ALONG SHORELINE. n C <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE WED UNLESS SPECIFICALLY PERMITTED. C <br /> 4. NO STRUCTURES,INCLUDING RECAJ <br /> TAINING WALLS, C.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW I[OR PRIVATE RESIDENTIAL GARAGE/STORAGE 0 NILY. (-l1 <br /> NOT TO BE USED FOR HUMAN HABITATION. f D <br /> 6. <br /> 1 eedae that this application(bckdbg anY acwnpaMbg adreare) been aorrrkted by me and to the beat of my knowle 0 � y a. <br /> ant bettef R N true,m. and oompkca. L adatowledge that S am Por the decaB and aowncy of ant bdonmeon <br /> contained M this appBotbn(fig any a=wvnp*nytg edadib) I f etim dedre that I rem that this 1 a [ fn <br /> am providing will be raved upon by the County of Burnett Wl000ndn In det an innbg vdiati r to Issue a permL I Rather am <br /> liability that may be a me*of the Gormty of BunaK relybg on this I am providing In this application. I agree to <br /> pamR dutyo8ldeb dnerpM withcounty ordananass agoass ar autlnrbad person to have aoto the 6 <br /> deeatbed pmnitaa at any Tor the purpose of <br /> -/a � g 5 kx <br /> OWNERS SIGNATU77y) <br /> a <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERMITS M4Y BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YW FROM DATE OF ISSUANCE CU 8 N <br />