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z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator _ <br /> APPLICATION FOR LAND USE PERMITS = y <br /> OWNER2kTELEPHONE Z/s 3o6-S r8a <br /> C <br /> MAILINGADDRESS 5 L `Y ST t�`L"J-2 e"-2 W 54 bib <br /> PROPERTY ADDRESS 11-42L- /�,t2�` K_"J ,D cLvt,b y� 7 <br /> f <br /> LEGAL DESCRIPTION _ <br /> TYPE0FPERMIT(5): SINGLE-FAMILY DWELLING 0 ADDITION DECK 0 GARAGE/ACCESSORY STRUCTURE 0 IIIyr <br /> BUNKHOUSE 0 59.692(IV)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 w <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE 0 = ' <br /> STRUCTURE/ADDITION USE: G"a� <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) III rT QWJ T <br />-- BUILDING CONTRACTOR: <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS x _ <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. - n <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW =r <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, Cy R <br /> AND INDICATE NORTH (N). Y ? <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) o C <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. <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES i <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT 15 PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. ' IIID_ <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THEIj <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN l } <br /> NEEDED. (� <br /> G I <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: � �� �j <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYSALONG <br /> OF PERMIT. Lj c Z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RED UNLESS ALONG SHORELINE. WU F <br /> 3. NO GRADINGOR ESS INCLUDING ALTERATIONS ARE ALLOWEDUNLESSSPECIFICALLY PERMITTED. — <br /> 4. NO BACK AREA. <br /> INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER O <br /> SETBACK AREA. LU <br /> _ _5., STRUCTURE/GARAGE MAN HABITATION.ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> 'NOT TO BE USED FOR HUMANHABITATION. F <br /> 6. <br /> T. 3z ?, nnr.n Lc _ <br /> x <br /> I dedam Mat this appikatlon(Including any accompanying schedule)has been examined by me and to Me best M my B F ,j P. <br /> knowledge and belief It is true,correct and complete. 1 aclmomedge Mat 1 am responsible for Me detall am accuracy of all <br /> Information contained N this application(including any accompanying schedule)and 1 further declare Mat I recognize Mat thisG n a L i <br /> Information 1 am providing will be relled upon by Me County of Burnett Wlamn9n In determining whether to issue a permit. 1 aP Z <br /> further accept all liability,Mat may be a rmlt of the county of Burnett relying on this Information I am providing In MIs `@ G :..1n> <br /> application. I agree to permit county oRklals di ged with administrating county ordinances or other auMddz d person M have ..7d <br /> access to Me above-described prcmi aspnabla time for Me purpose of impaction. <br /> OWNER'S SIGN RE � 'ca <br /> (date) <br /> d'L j= ia = T <br /> ZONING ADMINISTRATOR _ �� O=„ : u°° ,°-,e' F <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> A/lI L� THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSU <br /> Are-k !✓at Shah .t, jA N L0�11_A d az j�.'Mla" FEB 2 5 7",'3 �8 <br /> 6, �/n� ' SGf1/'.,4 1+ - ell/?l",HAIYI or— BURN :.... <br /> ✓� 3-I r3 6 /!ems° <br /> ETTCOUlNn' <br /> U ZONING <br />