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i <br /> Burnett County 7410 County Road K, No. 102, S iren, WI 54872 Office of Zoning Adminis xator R z <br /> APPLICATION FOR LAND USE PERMITS N . <br /> OWNER �� J K TELEPHONE <br /> n <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS <br /> d (7 Lt E2 <br /> If <br /> LEGAL DESCRIPTION y <br /> SINGLE FAMILY DWELLING ❑ GARAGE/ACCESSORY STRUCTURE ADDITION ❑ ST IRS ❑ <br /> TYPE OF PERMIT(S): 9 <br /> FILLING/GRAD[ ❑ CAMPING UNIT BUNKHOUSE Q 59.692(1V)GAZEBO ❑ DE K ❑ <br /> STRUCTURE/ADDITION USE: OZCII �/lytlYw2� z <br /> (Name/Cabi • Comm ial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: W <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOI PLANS .,I nn co 9� <br /> WILL BE RETURNED. 0J <br /> c O <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP EW) J <br /> 6 <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO EE SHOWN OR DRAWN TO SCALE. tn" Qf O <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW f^—a <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, M 1e <br /> AND INDICATE NORTH (N). o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING (A) BUILDING(S)TO ALL LOT LINES, (B) BUIL ING(S) Qj n <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASU EMENT(S)TO THE ORDINARY HIGH WATER MAR J 3 <br /> (OHWM) OF LAKE,STREAM OR RIVER AND WETLAND AREAS, AND(D) LOT DIMENSIONS. N y ` <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC rANK (ST)AND DRAINFIELD (DF), AND ALL DISI ANCES `i o <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. a'o <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. = O <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC ,THE -r <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. R.7 <br /> y 1 <br /> NOTE: NG/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE HEN <br /> NEEDS Qj <br /> NEEDED. t � a � <br /> O <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BE OW: R <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATIC IN IS RESTRICTED ALONG SHORELINE. <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. ( ,•I ' <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 /> n3 o tcE M7 <br /> 7. v F a =p <br /> w " 3 <br /> 3 9 w c ? w <br /> 1 declare that this application(Including any accompanying xhedul )has been examined by me and to the best of my knoi ledge � Z, y c: <br /> and belief It Is true,correct and complete. I acknowledge that I a responsible for the detail and accuracy of all informatlo c 7 <br /> contained In this application(including any accompanying schedule and I further declare that I recognize that this informal ion I " - ` i »Y <br /> am providing will be relied upon by the County of Burnett Wixonsl determining whether to Issue a permit f further ac ept all c °^, N=' <br /> liability that may be a result of the County of Burnett relying on th Il atlon I am providing In this application. I agree o p S '" r <br /> permit county officials charged with administrating county ordinal or ther a zed person to have access to the abo e- ii � r) <br /> described premises at any reason k time for the purpose of Ins on. c ,00, n <br /> OWNER'S SIGNATURE c n S 2 <br /> c " <br /> ZONING ADMINISTRATOR `1J( I lOf7 II.,TanA <br /> 2007 <br /> TOWNSHIP PERMITS 14AY BE REQ D d l H <br /> THIS PERMIT SHALL EXPIRE ONE EAR FROM DAT <br /> WNW" uN <br /> ZONING <br />