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i <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER TELEPHONE = l <br /> DAVID app RHEA I'i'()LLZR <br /> MAILING ADDRESS <br /> LQiLeRaLele u/ea/ rr ,voaT(ay/EyD /nA/ s5-0.r9 r. <br /> PROPERTY ADDRESS o <br /> ?369 OLD 35 S/n.t:/U W7 SY8�2 <br /> LEGAL DESCRIPTION IL <br /> LOT/ e5/)1 vet_ 2 Pq /og ;,, Gat Lora, &-ss-( 7 (, <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ DDIIION 0 DECK 0 GARAGFJACCESSORY STRUCTURE S <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 / <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE❑ <br /> j <br /> STRUCTURE/ADDITION USE: F/lRAyz6 <br /> (Hare/Cadn;Commercial Business; Bedroom; Deck;etc.) L <br /> BUILDING CONTRACTOR: il - N 11= v} <br /> �oo�r 'A �� z VVV <br /> A PLOT PLAN MUST BE PROVIDED ON AN B Vz XiTSHEET OF WIPER-ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. " 9j d <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) G <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. r- <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW `C> <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, r �- <br /> AND INDICATE NORTH(N). GS 10; z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(5)TO ALL LOT LINES,(B)BUILDINGS) <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK l T <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 <br /> TO BUILDINGS, ROADS, LAKE,LOT LINES. In rN—' <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 s <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. I I SI <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> I. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION 15 RESTRICTED ALONG SHORELINE. lA <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 SIRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGUSTORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. _ <br /> 6. <br /> 7. F > r: ^ _ = s i <br /> 33 = <br /> Ideclare <br /> cigethat <br /> nd isappli ision,correing any t and complete. ying cknoudedie)M1atkeen examined byme and r thedtailad beat <br /> accuracy <br /> information <br /> and belief iin this application <br /> pplicaRanO complete. yacknowledge Madame)responsible <br /> nther ecaretha Ira-- - im of not _ — <br /> informationIampr¢tlinMisappf lio!upon by Me <br /> yaoompaurnet Wisconsin <br /> in <br /> whether <br /> to issue <br /> not this c = > c � <br /> information I am providing t will a relief upon f h e Countyis of Burnett relying <br /> on in information <br /> wham pr to issue a permit. I <br /> further ion. I all agree <br /> to <br /> that maybe s result of rg d win of Burnett ing county <br /> thisrdinances oon l am providing in this — v S <br /> application. lapreeto permit county officials charged win administrating county ortlinanttsoroMerauNoriietl person to - iy <br /> — o - 3c <br /> have]Cass N[M1e above-0escrit�tl�Rm s it dnY rel n Dle Hme mor the P.r,ose of inspection. - <br /> C <br /> OWNER'S SIGNATURE 4 n _ N _ <br /> (date)I Lij u.W LL.U T G .. y, >'� <br /> ZONING ADMINISTRATOR <br /> —MML- ay' ` ' z <br /> TOWNSHIP PERM TS MAY BE REQUIRED 1211 <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF IS9lMRNETT COUNTY ? o <br /> ZONING <br />