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C N Z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g <br /> APPLICATION FOR LAND USE PERMITS : n <br /> 6 <br /> OWNERj ^n f TELEPHONE <br /> Fr ylrlan [tI2•Ictnr�K�n., i�51-4DJ-'brl23 <br /> MAILING ADDRESS 5so3$ <br /> nn 1 I <br /> PROPERTY ADDRESS 27 Sp(p t`2i�-Z Q-� (,IL 54 <br /> L` I ` r II < 2� <br /> LEGAL DESCRIPTION Lo[� '1� p . MocLC 7- Ai (I, 'T Kj4 '.CLS <br /> 9 lS L.a C of L'*+ l 3 -r4oN E'> <br /> TYPE OF PERMIT(S): SINGUE-FAMILYDWELLING>k ADDITION L7 DECK'Y GARAGE/ACCESSORY STRUCTURE ❑ 5 <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO❑ STAIRS 0 FILLING/GRADING ❑ CAMPING UNIT❑ I ^' <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> o <br /> STRUCTURE/ADDITION USE: <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) ' <br /> BUILDING CONTRACTOR: Yn,C/ ,q;, /S (901, P� St k Z (opyr,(iLJ T t�7 <br /> n- IkS`-Sbb-500 M- -IiS - 6,V -34T' 541ZA c <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yi X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS '� 7 o w <br /> WILL BE RETURNED. <br /> n <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) � <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW toO <br /> BUILDINGS/STRUCTURES (NEI, INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, 6 9 5 <br /> AND INDICATE NORTH (N). 6 a o <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 w <br /> (OHWM)OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND(D) LOT DIMENSIONS. p <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES H I <br /> TO BUILDINGS, ROADS,LAKE, LOT LINES. ° r„ <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE o <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. W <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: r- <br /> F <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. A <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. L4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER d <br /> SETBACK AREA. g� <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. o 'A >nn n n>a '9 <br /> n r333 �' an P1 <br /> I declare that this application(including any aommpanying schedule)has been examined by me and to the best of my <br /> knowledge and belief It Is true,correct and complete. I admowledge that I am responsible for the detail and accuracy of all <br /> Information oontaMed in this application(including any accompanying sdiedule)and I further declare that I recognize that this D> m <br /> Information I am Providing will be relied upon by the County of Burnett Wlsomsin in determining whether to Issue a permit. I u R a w= Y <br /> further accept all liability that may be a result of the County of Sumett relying on tics Infor ation I am providing In this c '� :n e, d'N b <br /> application. 1 agree to penult county offidals charged with administrating county ordinances or other authorized person to have <br /> access to the above-described premises at any reasonable time for the purpose of Inspection. ' B $8 H <br /> m 'rJ n moo og > <br /> OWNER'S SIGNATURE <br /> oyaomms °z <br /> Ul ( <br /> WMT <br /> ZONING ADMINISTRATOR L 5 2nil <br /> TOWNSHIP PERMITS MAY BE REQUIRED n w <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM ATE OF ITT COUNTY „: a <br /> u ZONING " <br /> ��5,��y�y� 7���r s� o � $0008 <br />