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�N^ 6 <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS = <br /> OWNER h C17�zu ��il / TELEPHONE 02- <br /> MAILING <br /> 7MAILING ADDRESS � 77 <br /> r � kl <br /> PROPERTY ADDRESS �) y,y8 ✓yI /�GL7L)/'� V / G �l—.�h�a`%.'.Y'i1)9✓�\/ �: ^ ) p�� <br /> LEGAL DESCRIPTION / l <br /> �T Ll1L L. 3a f) <br /> TYPE OF PERM TS): SINGLE-FAMILY DWELLING( ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE ❑ <br /> BUNKHOUSE 0 59.692(1V <br /> )GAZEBO❑ STAIRS❑ FILLING/GRADING❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE❑ <br /> J�.J/ <br /> STRUCTURE/ADDITION USE: N U <br /> (Ho / 'n; Co menial Business; BedrMoo7m; Deck;etc.) <br /> BUILDING CONTRACTOR: r 0 <br /> z c <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 V.X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS c <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 C5 c <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, J <br /> AND INDICATE NORTH(N). C \ I <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDINGS) Sj rTO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK nn � O <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D) LOT DIMENSIONS. It-/ -. <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES E. <br /> TO BUILDINGS,ROADS,LAKE, LOT LINES. 0 J S <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 /> PIANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSTTE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: ..J <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. ✓ <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. l T <br /> r <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. 1 <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. S <br /> 6. prvsiUl l0 2G 13W/J 1 � owe <br /> +LSid, Fgoec� Y/7 lcirti 1 Sef-6A.- G� A ^ J . ,; : <br /> 7. ()Cy <br /> �A/c'�e /nh�J IS Uar� /Nm riv=�". � rTG - <br /> R <br /> 1 declare that this application(including any accompanying schedule)has been examined by me and to the best of my 2 f h _ - <br /> knowledge and belief it is true,correct and complete. I acknowledge chat I am responsible for the detail and accuracy of all - - <br /> information contained in this application(including any accompanying schedule)and I banner declare that i recognize that this _ _ > L <br /> information 1 am providing will he relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I _ _ <br /> further accept all liability that may be a result of the County,of Burnett relying on this information I am providing in this <br /> application. Iagree to Permit county officials charged with administrating county ordinances or other authorised person to Ow o _ <br /> have access to the above-described Premises at any <br /> /�reasonn(able time for the purpose of inspection. / > _ > !�e <br /> OWNER'S SIGNATURE N&c 111 /1. /'lr 1(141_ 5"/� , 3 = 4 U 6 <br /> 6t <br /> ZONING ADMINISTRATOR _i'�_ ✓ ' T x =, <br /> - <br /> NSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISS(841METT COUNTY <br /> ZONING vw <br />