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o <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a � <br /> APPLICATION FOR LAND USE PERMITS <br /> N <br /> OWNER TELEPHONE ?/6-3,o17-446;Za rs �1 <br /> 4yes+meats,L[� e a <br /> MAILING ADDRESSO <br /> .,.03U��Fcc� t ck��jy� U�'� FrejdQelrt c� 10/ -6V837 m ��1 ; <br /> PROPERTY ADDRESS i' oblI 1e, PVA ��STC�J � ' 5/(�Sg3 0 <br /> LEGAL DESCRIPTION SE NE L46 S OF TN i) 10 w or c d <br /> OL'D 3f2 Ex w la RDS <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK ❑ GARAGE/ACCESSORY STRUCTURE�' d <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT ❑ C <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ o <br /> STRUCTURE/ADDITION USE: 63aeage 1Fbl�e F?Ac1111U Z \` <br /> 0 <br /> (Home/Cabin; Commercla6 iness; Bedroom; Deck; e it ;} <br /> BUILDING CONTRACTOR: O 1ox-A 6w1dingsI/9 <br /> 2. <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o y � <br /> WILL BE RETURNED. <br /> 6 <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) m 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 <br /> C[yr, rm <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, CT -� 5 <br /> AND INDICATE NORTH (N). 1 N c <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) AJ <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK w J <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 1 O4 <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. m QJ <br /> S. INDICATE IF A WALKOUT BASEMENT 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 o <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. — <br /> '4j <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHENi 1 <br /> NEEDED. <br /> w i <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: OQ <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n z n O <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. <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 HUMA HABITATION. <br /> 6. rn u s+ b? >14 o' om aei q we-tla6o' <br /> 7. a o 0 0 a <br /> n 3 3 3 <br /> '2 o n rt m g oS' <br /> I declare that 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 that I am responsible for the detail and accuracy of all <br /> Information contained in this application(including any accompanying schedule)and I further declare that I recognize that this .� �- D > m N <br /> Information I am providing will be relied upon by the County of Burrett Wisconsin In determining whether to Issue a permit. 1 ti ?w' !. 'O <br /> further accept all liability that may be a result of the County of Burrett relying on thls Information I am providing In this c w in>'=N '0 <br /> application. I agree to permit county ofFldalsarged with administrating county ordinances or other authorized person to have <br /> access to the above-described premises a d` reason a for[h urpose of inspection. Q m U,�,'^ r1 <br /> "/� 3 > c0000y <br /> S? ef°e 'a ' mr� rnm0 <br /> OWNER'S SIGNATURE n > c w <br /> _ (date) a e Q = 5 z <br /> -Tim { lCch(c " <br /> ZONING ADMINISTRATOR l61/1 -I �H. ti ` °_° N d Soil <br /> `° �_ x 97 <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> Wly,i de4+42 �c7_e� uta by <br /> KiGG P6tC�� 9 -� <br />