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Burnett County 7410 County Road K, No. 102, Siren,WE 54872 Office of Zoning Administrator 3 <br /> APPLICATTIO'N` F\O, R LAND USE PERMITS <br /> OWNER Mrtrk F �L�C714.'N /C:IMt�TL'-Ir TELEPHONE q5') - ani - 9ai3 —. a 4 <br /> MAILING ADDRESS I d <br /> l .,lam ��C� <br /> M`N i <br /> PROPERTY ADDRESS ' a I ) Q `n I I I L1 SCC ' -V-1 . S C��e(_ t W 1 Sa$ O � li <br /> `I \ ,V CIU -YJl lJ� 1 <br /> LEGAL DESCRIPRON (� ) (� (- <br /> W'tlgAMILY D TrcLr Is I II S (/a - fACC oL SID! I �N <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION❑ DECK❑ GARAGE/ACCESSORV STRUCTURE `)` c <br /> BUNKHOUSE❑ 59.692(IV)GAZEBO❑ STAIRS 11 FILLING/GRADING❑ CAMPING UNIT O <br /> COMMERCIAL BUILDING O COMMERCIALADDITION O COMMERCIAL ACCESSORY STRUCTURE O <br /> STRUCTURE/ADDITION USE: A -r-LQqL. OfC1Ct L <br /> (Home bin(Commercial Bu ; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: Qh- ung MS/I"�c�i Ok7 0 <br /> r <br /> r n <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'/a X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PUNS = <br /> WILL BE RETURNED. v <br /> DIRECTIONS FOR PLOT PUN DRAWING: (ARIAL OR TOP VIEW) j <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 <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, ..f <br /> tS <br /> AND INDICATE NORTH(N). (�,1 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) �" w l- 2 <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK '- 1 <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 DRAINRELD(DF),AND ALL DISTANCES C <br /> TO BUILDINGS,ROADS,LAKE,LOT LINES. <br /> 5. INDICATE IF A WAU(OUFT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. - W <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. V ? <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEN y <br /> NEEDED. <br /> I <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> F <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF RERMR. C <br /> 3. REMOVAL OR CUTTING OF LATREES AND VEGETATION O RED UNLESS ALONG SHORELINE. <br /> 3. NO GRADING ES SMORUNG ALTERATIONS LLS ALLOWED UNLESS SPECIFICALLY PERMUTED. UI <br /> 9. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER + <br /> SETBACK AREA. <br /> S. ACCESSORYFOR HUMAN <br /> PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USEDSED FOR HUMAN HABITATION. <br /> 6. <br /> ]. ., A > nn ,-. n > cr <br /> t e3 3 3 g z <br /> I declare that this application(induding any accompanying schedule)has been examined by me and M[M1e best of my -` a ,'} ,n^, - <br /> knowledge and belief it Is true,correct and complete. I acknowledge Mat I am responsible for Me detail and aceureq of all - - <br /> information contained in this application(including any accompanying schedule)and 1 further declare that 1 recognize that this <br /> information am providing will be relled upon by the county of Burned Wisconsin in determining whether M issue a permit 1 _ <br /> further accept all liability Mat may be a result of Me county of Burned relying on this information I am providing in this m'- - - w n <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to <br /> nave access to the above4esc'bed rem' es at any reasonable More for Me purpose of inspection. ' D > <br /> OWNER'S SIGNATURE 7 1 n «^ 8 = -_ <br /> C. Cyte ht/o47-1 (date) <br /> ZONING ADMINISTRATOR <br /> m'_ <br /> n T M <br /> P N F <br /> OWNSHIP PERMITS MAY BE REQUIRED - <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE p <br /> uu8'o = ' <br />