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Burdett County 7410 County Road K, No. 102, Slren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER <br /> UTELEPHONE r Il _ QI.�; Dfa'� _ ITt <br /> 11 1 p,9Nt��Y_ <br /> MAILING ADDRESS I3Q I l I � � I c-T Ofd J nfN Ss 376 <br /> aasys /IG sva3o 111 (7 <br /> PROPERTY ADDRESS' ,�p>yl`I �I� 111,1, 1 <br /> LEGAL DESCRIPTION Loy � �_ WI (%-L3)CV �10L1:a 73 P(,- �9:,:i rrl6 1 t-S -qO_I q - <br /> TYPE OF PERMR(B): SINGLE-FAMILY DWELLING 0 ADDITION D DECK ❑ GARAGE/ACCESSORY STRUCTURE A <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO D STAIRS I3 FILLING/GRADING ❑ CAMPING UNIT❑ r j <br /> 1 <br /> COMMERCIAL BUILDING D COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ rf <br /> =_ 3 <br /> STRUCTURE/ADDITION USE: `� ��+/:S -"CG t� <br /> (HoAm/Ile/Cabin; Commeraal Business; Bedroom; Deck; etc.) - lr7�/ <br /> BUILDING CONTRACTOR: M� �`�i AO 71n-1.'SCG L L Li <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8%X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS x <br /> 0 <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIA.OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. _ �_ •`- Cy <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, �I <br /> AND INDICATE NORTH (N). 4U <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B) BUILDING(S) `liJ <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK E <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 DRAINFTELD(DF), AND ALL DISTANCES C <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. _ 4i <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. p, <br /> NOTE: BUILDING/STRUCNRE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: � I <br /> I. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. r� <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. e <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING.RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. t <br /> 6. <br /> 7. � F > rnn l• cr <br /> I declare Nan NIs application m (Intluring any accompanying schedule)has been respoe,camined by me and m l a d at or mya_ <br /> knowlMpe enE belief II k We,mrmcn am mmpkten 1 acompanyin Nan I am rend If r Tor ad retell am recognize <br /> or all <br /> Inomi ation I am p er di NIs ill be called <br /> (Inupon by any linty of accompanying Whicok)and I IUMer rg whear, her 1 rIssue o Nat this .� _> <br /> former tionaco I am provlity will be be <br /> upon of Ne County of Bumett Wying on Ins Inkimining I am prfo Issuer his 1 <br /> tmNer accepn all agree <br /> liability Nat may beo result of n e County of Burnet relying county <br /> this lances or o 1 r a prevrized In this <br /> appllratlon. 1 agree N permit county officials cpargCr with Ominlstretlnp munly oNlnances or other authorized person m pave _ -��, �' $ 8 L <br /> access to Ne above-resvlEer premi et aPY reesoneb a for Ne purpose of Inspc[lion. m �,,,,�n T'1 <br /> OWNERS SIGNATUREiiin <br /> U Vi <br /> ZONING ADMINISTRATOR �� .R,f <br /> jUN 3 <br /> OWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUAb0'14NETT COU <br /> ZONING <br />