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Uot nrl[n/t 1D:d4 d4'J21 bb B C ZONING PAGE 01 <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator `0 z <br /> APPLICATION FOR LAND USE PERMITS�ff <br /> F; <br /> OWNERtjL .� G2�-rNTELEPHONEy0>l_�57 �0T,/ $ n u( <br /> l7 CN I O )(J <br /> MAILING ADDRESS IS-125' -blye - I P J - O <br /> 42PRO /V Q o�►r�E_I c& do 23 1q7- <br /> PROPERTY <br /> PERTY ADDRESS <br /> l! <br /> ' ^rA r/ ��� <br /> 1 I r jJC-gS7trZ W <br /> LEGAL DESCRIPTION a 2 <br /> if/J D LA et 5-�ta2c3 _s <br /> TYPE OF PERMIT(-); SINGLE-FgMiLV DWELLING D ADDITIO DECK D GARAGE/ACCESSORY STRUCTURED <br /> BUNKHOUSE D 59.692(IV)GAZEBO O STAIRS D FILLING/GRADING D CAMPING UNIT D _ G5 <br /> COMMERCIAL BUILDING I <br /> CCOMMERCIAL ACCESSORY STRUCTURE D <br /> STRUCTURE/ADDITION USE- SPA , Io oaciA w <br /> ' <br /> 3a <br /> (HomeG/CTa0bin, LommerOel Business, Bedroom; Dec;; etc.) I� o <br /> BUILDING CONTRACTOR: <br /> Ww�.IL M <br /> A PLOT PLAN MUST BE PROVIDED ON AN B Ih X11 SHEET OF PARER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS G c <br /> Will BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> I. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE, <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURE$ (EB) AND ALL NEW 6A <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). <br /> IN FET <br /> J. SHOW TO CENDT RLNNE OIMESIONF ROAD, (COBUILD NGLMEASUREMENT(S)DTO THE ORDINARY HIGHEWATTO LL LOT LINS, ERBMUIL <br /> RD(NG(-) <br /> (OHWM)OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND(D) L07 DIMENSIONS. <br /> 9. SHOW THE LOCATION OF THE WELL (W),SEPTIC TANK(ST)AND DRAINFIELD (DF), AND ALL DISTANCES <br /> TO BUILDINGS, ROAD$, LAKE, LOT LINE$. W <br /> 5. INDICATE IF A WALKOUT BASEM NT L?° <br /> E IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. .� w <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC., THE <br /> PLANS MUST BE SIGNED AND DATPD BY THE OWNER. - l <br /> NOTE; BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MV BE DONE WHEN y r) <br /> NEEDED. T, <br /> THIS PERMIT 1S SUBJECT TO ALL CONDITIONS LISTED BELOW; �� I <br /> I. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT, <br /> 2REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> . z DIy- <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS FTCWALLLOWED WITHIN IFTHELREQUIRE WE TER <br /> SETBACK AREA, <br /> S. ACCESSORY STRUCTVRE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY, <br /> NOT TO BE USED FOR HUMAN HABITATION. L� <br /> 6.7. <br /> ^ <br /> s luJ <br /> gz > p�l, ao IV <br /> I oWled trial be ief it is <br /> (Including any accomPanylnp schedule)has been examined by me and to the beat or my P ^ A ^ g m <br /> knowledge MO belle!k Is trot,coved end complete. I' <br /> acknowledge eha!I am o$ ^H r 9 <br /> Inlormatlon rg"to <br /> laed In thlS appllWtlon(Including any eccempanylnp Schedule)eel fwlher declare that laecepn:e tof hat IlAlc <br /> Inlormetlon 1 am Drovllln0 wNl be rolled upon by the County e/Burnett Wlaconsln M detelmining wheMer to Issue a permit. I <br /> ruRAer ac a' <br /> all IIab111N Net may be a ramp or Ne County or Burnet!rel In d A o <br /> apD'cation <br /> . I agree to pe enl"alc t are y pan this Inlprmatlon 1 am DraVlling In <br /> Is <br /> access to tl1!!hove-0 ad gra sea at sn rep ahl dmlmstratln ordina^ccs or ether authorized person to have <br /> Y Mme/Tor the p oce o attlon. R ` $ <br /> OWNER'S SIGN A <br /> � <br /> (date) a\ii o m R a^ 2 <br /> ZONING ADMINISTRAT �' S 5 C <br /> T NSHIP PERMITS AY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE N „. <br />