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Burnett County 7410 County Road K,No. 102, Siren,WI 54872 Office of Zoning Administrator S P <br /> APPLICATION FOR LAND USE PERMITS a <br /> OWNERaRut �^TELEPHONE _ \ G <br /> e D 1 �rlSr v ltlz z7z`�6zS' la <br /> _ <br /> MAILING ADDRESS D3IO I•,�A�P✓l1R IY/ I�[) ' 1 S[�U 7o <br /> Jt� <br /> PROPERTYADDRESS go374 lJV, ,'yA RA DA,Nbur4 w S L/e3 J <br /> 7 r <br /> LEGAL DESCRIPTION <br /> y <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ADDITION OECD( GARAGE/ACCESSORY STRUCTURE <br /> BUNKHOUSE 59.692(IV)GAZEBO STAIRS FILLING/GRADING CAMPING UNIT <br /> b <br /> COMMERCIAL BUILDING COMMERCIAL ADDITION COMMERCIAL ACCESSORY STRUCTURE _ R, <br /> f� i .l 61r%,gej0olNGc NI NA&1rAT <br /> STRUCTURE/ADDCTION USE: ��I VAIE /SPS) Ph /a jD� <br /> (Home/Cabin;Camnwiaal nes:BeGrpan;Deck:etc.) <br /> BUILDING CONTRACTOR: SeLr- r <br /> A < <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8`h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS r <br /> WILL BE RETURNED. c1 <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 C7' ) <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, v <br /> AND INDICATE NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) r- <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFlELD(DF),AND ALL DISTANCES <br /> TO BUILDINGS,ROADS, LAKE,LOT LINES. Z. <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,CONTRAROR ETC,THE <br /> PIANS MUST BE SIGNED AND DATED BY THE OWNER. r <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN L <br /> NEEDED. -` <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: (` (I�� I t� <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. z' V ' <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. ©© <br /> 3. NO GRADING OR SHOREIAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. Q. N <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER _ <br /> SE CK AREA. O <br /> 5. ACCESSORY STRUCTUREIGARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. (') <br /> NOT TO BE USED FOR HUMAN HABITATION. BVI E <br /> 6. <br /> 7. > nnno>6� w <br /> n <br /> F, nnn8 3 <br /> I aaa,amlech Nat Nis applt is b (in tW warty a®mpanying stlwtluk)hes been eeamined by me and to the best of my 3 ? <br /> i nowkdge co heRef It ishis a correct and couding any <br /> I acklgwledpe Nate ul )and I Furt for Ne debit a I and,rary of all — o -] <br /> inbmuBon conbine4 in this applimdan(ilrtludirg anYa®mpanylrg srkMule)endl Further Oedam tMtlrecogniu Nat NiscFd_ ti i > <br /> informatlan I am pro'/idim will be re ied upon by Ne County of Burnett WlscorW n in dehrmininq whether b Lowe a permit. I `-c w 7 : <br /> Fortner adept all liability Nat may W a result of One County of Burned relying on this informetbn I am providing in this <br /> application. I"nee m permI cou omciaw dg <br /> ued and, isbnP adminztlcounty ordlnanres or other audmri od person on Cly Q R r <br /> nave aaeas b Ne abovo-desai/ I.M., bled dL <br /> > <br /> OWNER'S SIGNATURE ^ m (date) <br /> ZONING ADMINISTRATORR� i3 <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUAJWNETT COON <br /> ZONING <br /> ^� <br /> �� ovoos <br />