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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator n z <br /> APPLICATION FOR LAND USE PERMITS a <br /> OWNER TELEPHONE d <br /> rif� /hAR1' KAP' SnlfgL�EJ <br /> MAILING ADDRESS 3oa �T13 � sr"E-ET OSL`ED L.I`� / WI syoao (� <br /> / .\ ti <br /> PROPERTY ADDRESS Milli rU SMO D� S�,q f.\ id.� I cq O q� <br /> I� J( AJ J O <br /> LEGAL DESCRIPTION <br /> soy T38N RISw , a csm V 8P7O �. <br /> SINGLE FAMILY DWELLING Cl GARAGE/ACCESSORY STRUCTURE ❑ ADDITION im STAIRS ❑ a <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING ❑ CAMPING UNIT❑ BUNKHOUSE❑ 59.692(1V)GAZEBO❑ DECK❑ <br /> STRUCTURE/ADDITION USE: I 3 SEfISo� Po&e <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) o <br /> BUILDING CONTRACTOR: (!OA)STRLICT'Iok) u,4j(-IM/ ,-h , ZA13 Z4WSo `�r ;TR. I� O <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8%X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PIAN DRAWING: (ARiAL OR TOP VIEW) � c <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. I�d <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW c �v <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). i <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B) BUILDING(S) y,1 <br /> TO CENTERLINE OF ROAD, (C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK lk1 <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D) LOT DIMENSIONS. N y <br /> 71 <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. w <br /> 5. 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. iT <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN R <br /> NEEDED. <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. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. T <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER V I{ <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. Q <br /> 6. C)VVrj5 dC1JOln ( �✓Jper/,� >nmo> ro <br /> 7. 3z 2w ° mow <br /> I declare that thk application(Indudit any anpanyi g schedule)has been e:arnkr <br /> ned by me and to the best of my knowledge 3 <br /> and belief It Is hue,correct and complete. I acmowle i"that I am responsible for the detail and aowracy of all kdormatlon e . <br /> contained In this application(including any accompanying sdmxkde)and I further declare that I reoognhe that this IMomratlon I Y <br /> mproviding will be relied upon by the Canty of Bnanelt Wisconsin In detwmkft ether toissue,ss a permit. I further accept all c _ti$w`�o b <br /> liability may be a result of the County of Burnett rdykg on this Information I am application. I agree to o <br /> parrot county officials dharyed colt administratingwhMn <br /> wady ordinances or other aodm aed person have aws above- 2 to Bre abo (/J? t7 <br /> desulbed premises at any reasonable time for the purpose of inspection. to <br /> o E y <br /> OWNERS SIGNATUREoC,w�. �-�^4XY� 1 ' d,� o <br /> (aceta) a TI <br /> g� n <br /> ZONING ADMINI5TRATOR �N F�Cc�Lh <br /> TOWNSHIP PERMITS MAY BE REQUIRED o H H <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE CU o u u o <br /> tf I�ng3 Neuf HT a000 9 afS�83 <br /> pP✓m 1 4e-/ pecked Vp bv <br />