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Burnett County 7410 County Road K, No. 102, Siren,W1 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS I _ <br /> OWNER I V / yt^ TELEPHONE 1/01 -';zV0 <br /> MAILING ADDRESS 82-76-0 <br /> 2-76 G!t/l/J .�r-r <br /> / PIU rv�t,p5,a>` •✓ C/JI_ ��. - 1 <br /> PROPERTY ADDRESS ,g��65 Ta�eat�OSas- - 1 <br /> LEGAL DESCRIPTION LA <br /> ^ s n 3; .7._llO,V J' /rte) �h- w./ - ' y <br /> TYPE OFPERMm(S): SINGLE-FAMILY DWELLING 0 ADDITION LI DECK GARAGE/JACCCSSORY��STRUCTURE ❑ <br /> BUNKHOUSE 0 59.692(1V)GAZEBO ❑ STAIRS O FILLING/GRADING ❑ CAMPING UNIT ❑ j <br /> COMMERCIAL BUILDING O COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE 0 �_ y <br /> STRUCTURE/ADDITION USE: LiL�C-C <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: , G��UGt4�✓` 1 <br /> A PLOT PLAN MUSF BE PROVIDED ON AN 8 yz%11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS z t5 _ <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <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 - 3 <br /> BUILDINGS/STRUCTURES (NS), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, ? <br /> AND INDICATE NORTH (N). i o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B) BUILDING(S) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHW M)OF LAKE,STREAM OR RIVER AND WETLAND AREAS, AND (D)LOT DIMENSIONS. <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(57)AND DRAINFIELD(OF), AND ALL DISTANCES <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 <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEN _ Q I <br /> NEEDED. <br /> I <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. c <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. E z l <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. L O <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC., ALLOWED WITHIN THE REQUIRED WATER yL/nI <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIA <br /> SETBACK AREA. L GARAGE/STORAGE ONLY, <br /> NOT TO BE USED FOR HUMAN HABITATION. p <br /> 6. <br /> � A >n nnocse <br /> J, <br /> I declare that MIs application(Including any aaompanying schedule)has been examines by me and to Me best of my B e j F. �'w <br /> knowledge and belief it Is true,comect and complete. I atlmuwtedge Mat I am respgnsWk Tor the dates anyl accuracy 0 all ¢=`-- <br /> information contained In this application(Including any accompanying schedule)and I further declare Mat 1 recognize Mat this <br /> Inforinadon I am providing will be relied upon by Me County of Burned Wisconsin In determining whether to issue a permit i <br /> further accept all ilablitty Mat may be a result of Me County of Burnett relying on this Information I am providing In this <br /> appllUton. I agree to permit county ofcial$charged with admimGrating county ordinances or other authorized person to have <br /> access to Me above-described premises at any reasonable time for Me purpose of InspeNon. <br /> ! (T-a-�" rn c n O <br /> OWNER'S SIGNATURE_ >- c <br /> (date) _ 5 2- z 3 8 _ _ <br /> IT <br /> ZONING ADMINISTRATOR / rcgUL <br /> ;I-{y/I} - R In, <br /> TOWNSHIP PERMITS MAY BE REQUIREDIl IJ (S <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF IS 2014 <br /> BURNETTCOUNTY <br /> ZONING <br />