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Burnett County 7410 County Road K, No. 102, Siren,WI 54872 OffiCe of Zoning Administrator <br /> APPLICATION .1FOR LAND USE PERMITS =_ <br /> OWNER �J fC�G-fJ t IlL"J'1 LOfC�NC-C TELEPHO," fIIL'?i�7_J - <br /> r" X <br /> MAILING ADDRESS 105b f iiiSI'. IA , �rJVL-1L <br /> 7 GROfI� 67C . /rd S5a76 p Imo') <br /> PROPERTYADDRESS <br /> 3) N JnM,san) �p• W€�alrfLrL ,�7 5 //9�/ 7 _ <br /> ane O scylryTAv� �C_t_ ;/ mot" y �pCtl'�II O - Sz9) <br /> LEGAL DESCRIPTION GAfLL - <br /> 2 SD' c�7 o�.e3-z-YoyC-Br-Saymy2�z� I <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING O ADDI'l O DECK O GARAGE/ACCESSORY STRUCTURE R <br /> BUNKHOUSE O 59.692(IV)GAZEBO O STAIRS O FILLING/GRADING O CAMPING UNITO _ <br /> COMMERCIAL BUILDING O COMMERCIAL ADDITION O COMMERCIAL ACCESSORY STRUCTURE O �_- <br /> z <br /> STRUCTURE/ADDITION USE: <br /> /��[{ n(Home/Cabin; Commercial Business; Bedroom; Deck; retc.) <br /> BUILDING CONTRACTOR: K ,VIJ(lAI /` /EGS <br /> C RIl nil S.rJ <br /> fSox. Z'� rSrfLCO, <br /> A PLOT PUN MUST BE PROVIDED ON AN 8 Va X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS O <br /> WILL BE RETURNED. <br /> n <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 BUSTING BUILDINGS/STRUCTURES(EB)AND ALL NEW b ? <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, v P <br /> AND INDICATE NORTH(N). SrrrrJJJI _ <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) -' <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK o <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS, <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTiCTANK(SI)AND DRAINTELD(DF),AND ALL DISTANCES ? ,� <br /> TO BUILDINGS, ROADS,CAKE,LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT PLANNED AND SHOW AREAS TO BE GRADED FILLED. <br /> UB (I��\ <br /> 6. IF SEPARATE PNS ARE SUBMITTED BY AN 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. fN \ <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: O F <br /> _ Cb <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. O x <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. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. I <br /> 7. hn ASI /� ��OOtC/ ���UQ, IIOYv /T'TIW <br /> 3 3 3 A <br /> Idedarethat thisapplicotlon(including any apwm F rt ' ° ' T a <br /> panyin9sNetlule)hasbeen examinedbymeandtothebestofmy 3 p ,� a a �_ _ <br /> knowleWge and belief it is trop cornett and complete I acknowledge that I am responsible for the detail and accuracy of all - _ _ _ - <br /> information contained in this application(including any accompanying schedule)and l further declare that l recognize that this _ <br /> information I am providing will be ralled upon by the County of Burnett Wisconsin in determining whether to issue a permit. 1 _ - S <br /> further accept all liability Nat may be a result of the County of Burnett relying an this information l am providing in this <br /> application. I agree to Permit county officials charged with administrating county ordinances or other authorized person to _ _have access to Ne above-describedpremises at any reasonable time fur the purpose of inspection. <br /> OWNER'S SIGNATURE <br /> 3,090,M9�rt 8 8 0 <br /> (date) 1� <br /> ZONING ADMINISTRATOR rrnv n 11 on13 = 9 <br /> —MAT—CrTCV 5 g s <br /> TOWNSHIP PERMITS MAY BE REQUIRED p� - c " T <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUA PNETT COON <br /> ZONING - - <br />