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u ro Z <br /> Burnett County 7410 County Road K,No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS y. <br /> 0 <br /> 'I OWNER fO�(t,oNIInnttier /�'��A30—On TELEPHONE <br /> MAILINGADDRESS <br /> F <br /> w a <br /> � <br /> P PERTY ADDRESS <br /> LEGAL DESCRIPTION �(- fYl ; Z� I�e.� <br /> Vi- (gLvv t IISM 04V S <br /> k„61tnSyLLo ' Y110 Q4v thm 6 " ( r?tv: <br /> SINGLE FAMILY DWELLING GARAGE/ACCESSORY STRUCTURE ADDITION <br /> STAIRS <br /> TYPE OF PERMIT(S): P(,kV 1DS O'1- 34.2-37-IfS -Z1 -5 15-'113- 2b(X�D <br /> FILLING/GRADING CAMPING UNIT BUNKHOUSE• 59.692(1�GAZE80 ECK ro <br /> r S <br /> STRUCTURE/ADDITION USE: '� <br /> /�(( 01 me Ca in;Comm la/Business;BedroomyD,e�cetc.) <br /> BUILDING CONTRACTOR:-Ap /� P. IeN <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 r/z X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS i0 <br /> WILL BE RETURNED. ° <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. t� <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW Q <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) c <br /> III 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. (al <br /> 4. SHOW THE LOCATION OF THE WELL(N),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES ty <br /> TO BUILDINGS,ROADS,LAKE,LOT LINES. I I <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. B ti <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE w H <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. \-aj H <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: \" <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. I. <br /> 2. REMOVAL OR CUrMNG OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. (I`I r) <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 W <br /> SETBACK AREA. <br /> S. ACCESSORY,+ RU <br /> STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GGARAGE/STORAGEONLY. <br /> O BE <br /> ED <br /> OR <br /> UMAN <br /> 1 6. <br /> NOT <br /> K'CSS^=FlH� eI7;;TA v //IPi�'/Z�i��-'► /P�l�i�l� <br /> 7. <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my knowledge <br /> and belief It is true,correct and complete. I acknowledge that l am responsible for the detail and accuracy of all Information <br /> contained in this application(including any accompanying schedule)and I further declare that I recognize that this information I <br /> em providing will be relled upon by the county of Burnan Wisconsin In determining whether to issue a permit. I further accept all P <br /> liability that may be a result of the county of Burnett retying on this Information I am providing In this application. I agree to permit e <br /> county officials charged with administrating county ordinances or other authorized person to have access to the above-described w cin"� ro <br /> premises at any reasonabl urposs o s n. <br /> 6 �Pko <br /> Ctl yQM <br /> OWNER'S SIGNATURE (da ) C <br /> ZONING ADMINISTRATOR • $ o '�1 <br /> TOWNSHIP PERMITS MAY BE REQUIRED ; <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />