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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER TELEPHONE <br /> %imqsdcve* <br /> MAILING ADDRESS <br /> _qpck L'Alc 4 - <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION <br /> Parre I (Ism V (�Xv_101A:� <br /> TYPE OF PERIMIT[S): SINGLE-FAMILY DWELLING 0 ADDITION 0 DECK 0 GARAGIiT� <br /> BUNKHOUSE 0 59.692(lV)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT LI <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE 13 <br /> STRUCTURE/ADDYTION USE: DICIN 07 <br /> EUR_D,NGOONTRAC1OR, <br /> A PLOT PUN MUST BE PROVIDED ON AN 6 Yx X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PUN DRAWING: (ARIAL OR TOP VIEW) <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/STRUCIURES NEE)AND ALL NEW a <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) BUILDTNG(S)TO ALL LOT LINES, (B) BUILDING(S) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM)OF TAKE, STREAM OR RIVER AND WET1LsND AREAS,AND (D)LOT DIMENSIONS. V R <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST) AND GRAINFIELD(DF),AND ALL DISTANCES <br /> TO BUILDINGS, ROADS, TAKE, LOT <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PUNNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE RUNS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC., THE TJ �j <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUIUDING/STRUCrURE LOCATIONS MUST BE STAKED 50 AN ONSTTE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT 15 SUBJECT TO ALL CONDITIONS LISTED BELOW� <br /> I. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETA1­ION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHOREI-AND 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 STRUCIR)RE/ClARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. (,V <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 7. > > <br /> I dedare Mat this application(including any accompanying schedule)has been examined by me and to the best of my <br /> knowledge and belief It is true,correct and complete. I acknowledge Mat I am responsible for the debut and accuracy of all <br /> nfo=:od cortaidedi in this application(Includid,any accompanying schedule)and I further declare that I nownize Mat dels E > > ca > <br /> 'ren on I am providing wIll be called upon by the County of Burden,Wisconsin In determining whether to issue a pernat. I <br /> further accept all liability Mat may be a result or the County of Burned relying on this information I am providing in this <br /> application. I agree to pearet county officials charged with administrating county ordinances or other authorized!person to have R <br /> access to the above-clearcilbed premises at any reasonable time for the purpose of inspection. <br /> OWNER'S SIGNATUREh&hfl <br /> ZONING ADMINISTRATC E <br /> Ul <br /> ,R <br /> OCT 2 8,2013 <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISHCE <br /> BURNETTCOUNTf .. . . <br /> ZONING <br />