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S 2 <br /> 3 yy,s <br /> Burnett County 7410 County Road K.No. 102, Siren,WI 54872 Office of Zoning Administrator _ n <br /> APPLICATION FOR LAND USE PERMITS = <br /> OWNERcr, I L �/ M TELEPHONE <br /> P ,+I I�ewAcr- l <br /> c So - 273 � <br /> -3 ? fL� <br /> MAILING ADDRESS Z�5p3 /V"� ZZt <br /> ///-1 <br /> AI <br /> / n <br /> PROPERTY ADDRESS <br /> / nnO n of, <br /> LEGAL DESCRIPTION /IG <br /> C 7 p I4'a.R._k — <br /> N. h � Ul , ACL G U la'{C�(�F H�/GG� <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING❑ ADDITION❑ DECK 0 GARAGE/ACCESSORY STRUCTURE <br /> BUNKHOUSE❑ 59.692(IV)GAZEBO❑ STAIRS❑ FILLING/GRADING ❑ CAMPING UNIT CI1.S <br /> COMMERCIAL BUILDING Cl COMMERCIAL ADDITION 11 COMMERCIAL ACCESSORY STRUCTURE 0 - 3 <br /> STRUCTURE/ADDITION USE: ( ,G/j;n �I� I K e��G�, Cr I� yiTY!'�'t� . <br /> /��[�l /� (,Home/Cabin;Commercial Business;Betlmdm; Deck;etc.) <br /> BUILDING CONTRACTOR: 43 1444 C60� 7 /s -SG(. - 2 / F n <br /> Cr 81,5- Eliz,., Z/,. 'ed <br /> AP LOT PLAN MUST BE PROWDED ON AN 8'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. <br /> n <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> I. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. o- - <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEN O c' <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, t = <br /> AND INDICATE NORTH N).. q > � <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) �2 <br /> TO CENTERLINE OF ROAD, (C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> QHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS, l p <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(OF),AND ALL DISTANCES <br /> TO BUILDINGS, ROADS,LAKE,LOT LINES. D n n <br /> 5. INDICATE IF A WALKOUT BASEMENT PLANNED AND SHOW AREAS TOGRADED RA TILLED. <br /> LAN <br /> 6. IF SEPARATE PNS ARE SUBMITTED B BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE _ <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 <br /> NEEDED. I� - <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: ' f <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. u <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. ((rd(T3ryJ/'1 I�-- <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS;ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAWSTORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6` <br /> ]. >, � � � 0 > cr <br /> 1 declare that this applicatbn(including any accompanying scAedult)has been examined by me and to the best of my F _ <br /> knowledge and belief It is me,correct and Complete. 1 acklmwled a that[am res - - - <br /> p 9 responsible for the detail and accuracy of all <br /> ur <br /> Information contained in this application any accompanying schedule)and I further declare that I recognize that this _ <br /> Infarmation 1 am Providing will be relied upon by the County of Burnett Wisconsin in determining whether to Issue a permit 1 a c <br /> further accept all liability tha[may be Tesultof the County of Burnett reliving on this information I am providing in this _ w' �I l^`7 <br /> application. )agree to permitmun cialscharge"ith administrating county ordinances or other authorized person to <br /> have acceu[o Ne above-deudbe 'sex [aoyf sortable 4me ror Me puryose of inspeQion. a <br /> pr <br /> OWNER'S SIGNATURE Y / /i�3 <br /> (date) <br /> ZONING ADMINISTRATOR <br /> Z Go <br /> TOWNSHIP PER ITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE - <br /> � U8 �o = = <br />