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y � z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g P <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER `red -f MY/a S 4At TELEPHONE c O <br /> R v <br /> � � v <br /> MAILING ADDRESS <br /> a13 Con4(naA41 CA/ �chaa ,,bw� ?CC 6U IyZ{ C� <br /> PROPERTY ADDRESS , <br /> /.245 Carson Ad - o <br /> LEGAL DESCRIPTION jfGv /07�ur�.d o <br /> TYPE OF PERMITS): SINGLE-FAMILY DWELLING>< ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE �C' <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 y- <br /> 91e <br /> COMMERCIAL BUILDING 0 COMMERCIIAL ADDITIONN 0 COMMERCIAL ACCESSORY STRUCTURE 0 c <br /> STRUCTURE/ADDITION USE: VIa fn 4e_ c A <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) (n <br /> BUILDING CONTRACTOR: `a rSa Ru, /do✓S C <br /> � _ A <br /> o <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Y=X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C o C <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) p <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 M 'o 3 <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, p <br /> AND INDICATE NORTH (N). N o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) 5 Cr) <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. t7 O 0 } <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD (DF),AND ALL DISTANCES q XJ <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. h CA <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 1 <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE 4 <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> 1 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN (JJ <br /> NEEDED. lJv p <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n 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. L' <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. I <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> .-. �' � 00 o O > b <br /> 7. p � � 333 &n � <br /> � zon5ns ; � 3 <br /> I declare that this application(induding any accompanying schedule)has been examined by me and to the best of my m o S <br /> knowledge and belief it Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all <br /> Information contained in this application(Including any accompanying schedule)and I further declare that I recognize that this o a a d > <br /> Information I am providing will be relled upon by the County of Burnett Wisconsin In determining whether to Issue a pemUt. I p <br /> any <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing in this g <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have <br /> access to the above-described remises at son ble tle for the purpose of Inspection. °� w % a p w�w > <br /> OWNER'S SIGNATURE � YT-'—" 6A-1 <br /> A l"f/ > E to r) W-5 O <br /> (date) °.° .°° <br /> ZONING ADMINISTRATOR Jl r f / F l an ( 'Io/•7 S' M <br /> ° ° <br /> y c <br /> Y C : x t+ <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE C" <br /> r�Iclad Lt k)-LI M, ' AVJ <br />