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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER TELEPHONE L. <br /> G lam, &Y-S Lauc,a 5�1� ( �te}>�,t� � 51 - 130 - 0) V- <br /> MAILING ADDRESS 3�D h d)�J D d � I 5f;l l wa-fe-r M N 5 s 0 g z c) 'R <br /> PROPERTY ADDRESS 2 T 80 7 5 I V b-r Lu Da✓t.b u r n till.l <br /> D < <br /> LEGAL DESCRIPTION <br /> PN ' <br /> + 60V /� �J Se^ 67 '-T/o,/\) <br /> D N/ <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITIONS❑L DECK❑ _/G`A-/RAAGE/iA`CCESSORY STRUCTURE V � <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 ,� r <br /> C <br /> 'v <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITIOON 0 COMMERCIAL ACCESSORY STRUCTURED a <br /> STRUCTURE/ADDITION USE: rzYeLz t/1 <br /> (Home/Cabin; Ebmmercial Business; roo ; Deck; etc.) <br /> BUILDING CONTRACTOR: ti <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 hh X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o <br /> WILL BE RETURNED. A� <br /> DIRECTIONS FOR PLOT PIAN DRAWING: (ARIAL OR TOP VIEW) ^p Y <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW " B <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, o <br /> AND INDICATE NORTH (N). c <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) a <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. p <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES q <br /> TO BUILDINGS, ROADS,LAKE, LOT LINES. ti <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 f <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. e <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUB3ECT TO ALL CONDITIONS LISTED BELOW: r� 1 <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. B <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. I <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. <br /> 6. <br /> 7. v 'b �000 D�t7b <br /> A <br /> 1 declare that this application(Induding any accompanying schedule)has been examined by me and to the best of my o ^ S 5'w <br /> knowledge and belief It Is true,correct and complete. I acknowledge that 1 am responsible for the detail and accuracy of all m�. P a ►) <br /> information contalned In this application(including any accompanying schedule)and I further declare that I recognize that this c.a a m N <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to Issue a permit. I c- $w v <br /> further accept all liability that may be a result of the County of Burnett relying on this information I am providing In this Q "—c H in: h N It <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 premises at any reasonable time for the purpose of inspection. <br /> mn m S �8, <br /> OWNER'S SIGNATURE 0%8 l0 q a '= <br /> > bW Ng W8 <br /> n <br /> ZONING ADMINISTRATOR <br /> HIM vim E C. <br /> A <br /> TOWNSHIP PERMITS MAY BE REQUIRED OCT 131009 <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF aNCE 11 N N <br /> 80008 <br /> BURNETT COUN <br /> ZONING <br />