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N ro Z <br /> Burnett County 7410 County Road K,No. 102, Siren,WI 54872 Office of Zoning Administrator 0" <br /> APPLICATION FOR LAND USE PERMITS 0 <br /> OWNER /� <br /> Anne i5ensoo Jane /!I,{ Z' h TELEPHONE <br /> MAILINGADDRESS llq'7� �j-4`/ 1,l c_ 77 O 61 0 <br /> PROPERTY ADDRESS <br /> /,r/e�s1LP LJ ( 5-'-t S 1 � L <br /> LEGAL DESCRIPTION S <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION❑ DECK❑ GARAGE/ACCESSORY STRUCTURE ❑ 2. <br /> BUNKHOUSE❑ 59.692(1V)GAZEBO ❑ STAIRSJ,� FILLING/GRADING❑ CAMPING UNIT El <br /> COMMERCIAL BUILDINNGGG 0 �C,OMMERCIAL ADDITIO/N'�❑ COMMERCIAL ACCESSORY STRUCTURE❑ S _ <br /> STRUCTURE/ADDITION USE: S s'F�' S <br /> kn <br /> ome n; mmeraa usinesss; room; <br /> BUILDING CONTRACTOR: I,()Q. die — A u_5 j„ Le-juy <br /> L Gt/NA Sl R I"n � o <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Va X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT P 2, <br /> WILL BE RETURNED. C, <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) �, O <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/STRUCTURES(EB)AND ALL NEW n <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, 0 <br /> AND INDICATE NORTH(N). c <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 l a C <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. y <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(S )AND DRAINFIELD(DF),AND ALL DISTANCES H. <br /> TO BUILDINGS, ROADS,LAKE,LOT LINES. <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. n H <br /> 6. IF SEPARATE PLANS ARE SUBMITTED 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 Ul y l <br /> NEEDED. — <br /> THIS PERMIT IS SURIECr TO ALL CONDITIONS LISTED BELOW: ' <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n x <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. •�, z <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. C� <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. a <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. � `� a > Cb <br /> B x0 r2J <br /> I declare that this application(Inducting any accompanying schedule)has been examined <br /> of r t and to Me best of my c B p w <br /> knowledgenrdo and belief k b true, plicati and complete. I acknowledge that I ul )a rid I further <br /> for ec detail and accuracy of all y E. E, � <br /> Information combined In Mla applkatlon(including any accompanying schedule)and I further dedaro that I recognize that this <br /> Information I am providing will be relled upon by the County of Burnett Wisconsin in determining whether to Issue a permit I <br /> further accept all liability that may be a result of the County of Burnett relying on this Imbrmetion I am providing In this <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to 8 <br /> have access to the above-described lees at any reasonable time for the purpose of inspection. W > w C1 <br /> OWNER'S SIGNATURE N"JL C "l�I''�— /q� a0// 8 •��7 <br /> (date) <br /> ZONING ADMINISTRATOR !I. i <br /> H ,z <br /> K C ; <br /> TOWNSHIP PERMITS MAY BE REQUIRED � � a• <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE r` ~ <br /> S . <br /> 0 <br /> 0 <br />