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Burnett County 7410 County Road K, NO. 102, Siren, WI 54872 Office of Zoning Administrator g <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER C TELEPHONE <br /> \JC�T1.1 CSA > <br /> MAILING ADDRESS lo'jS Mer�,,.fy Qrn`S ;p,�ul kA. 5512 <br /> PROPERTY ADDRESS Ago-? <br /> Q ner I SL,� K,J 1.�(_ CJ— � 2 ) <br /> LEGAL OESCRIPfION Gj nXl ^[S Cell i1JIF4tl'4CC,/Y`l-��L. VAHh)JVI 3 <br /> TYPE OF PBUIT(5): SINGLE-FAMILY DWELLINVG O ADDITION O DEMO GARAGE/ACCESSORY STRUCTURE 13 I, 1 <br /> BUNKHOUSE D 59.692(IV)GAZEBO O STAIRS O FILLING/GRADING D CAMPING UNIT D-- µ <br /> COMMERCIAL BUILDING O COMMERCIAL ADDITION O COMMERCIAL ACCESSORY STRUCTURED {' <br /> STRUCTURE/ADDITION USE: J j :� <br /> (Home/Cabin;Commercial Business; BeRroo ;OMt;Rtc.) IIFJ-' <br /> BUILDING CONTRACTOR: O <br /> r <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 W X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS c <br /> WILL BE RETURNED. w j <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) an lr'}•- B� <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 an <br /> BUILDINGS/STRUCTURES(NS),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, 0 <br /> AND INDICATE NORTH(N). b W e <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDINGS)TO ALL LOT LINES,(B) BUILDING(S) <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK 01t <br /> (OHWM)OF LIKE, STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. $U <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES ) <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. m <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE <br /> � e <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. J <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> 4 y <br /> THIS PERMIT IS SUB]ECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. O 2 <br /> 2. REMOVAL OR CURING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. € a <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. E <br /> 6. <br /> I4ed0h,taat LalsappRotion induil a <br /> I^9 am'aavnPaMRN sdr4ule)tH5 I.a nslb by me and to tae best ori 3 A rl m 3 <br /> LnowlaMe and belief R b true, 11c and to dlis,a 1 atrowMge that 1 am,and I h ti er the n,HY and acalacY of all <br /> InbmMtbn mnGl L M[aH appllmtbn(irtlt6lnq any amnlpanyYg sdaduk)and 1 fuM1M 6cbre Had l recoRhpe that[a6 � :3_ _. Y <br /> IMormHbn t mn ptovUay at i be Jled uppn by the County f B nn ett In,on In eeavmlMng w am i <br /> luM1lcr a¢ppt all IbbYlty that may be a rewk of the CaurAy of Burnett relyltN on this Mbmla[bn I am provURq In INs 2- — s�^ S <br /> apP V,t 1 agree to petmY rp[My oIM. tlm�wRaJ��Rmher the g tnunto Inspect w ataer autlnmetl pmm�to have ^ ,4 m gmg' <br /> amss to tae atmc4ewlbpd M.,[vssonab�for Uc purpose of IispeYbn. 'a n3$w»yr T) <br /> OWNER'S SIGNATURE o <br /> (Cate) w at a. <br /> ZONING ADMINISTRATOR LE <br /> If- DD/RE_ y E�. 6yLSP)Utl()fjJ 3TOWNSHIP PERMITS MAY BE REQUIRED F THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE I 4 2G13 d »=E m r i;R <br /> C8= � =8 <br /> SURNETT COUNTY <br /> ZONING <br />