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Z <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator = `' <br /> APPLICATION FOR LAND USE PERMITS E_ ' 6- <br /> _ � y <br /> OWNER -� sh�a r' I�yr^Co .� TELEPHONE(j r ) S W.- 43 8 5 <br /> MAILING ADDRESS \2n <br /> PROPERTY ADDRESS = <br /> 54830 - e <br /> LEGAL DESCRIPTION 5 W y -5 F' v Sec. 17 Twp y0 I�D.n ole l�. Burn elf <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING 11 ADDITION El DECK [IGARAGFJACCESSORV STRUCTURE SY 2 <br /> BUNKHOUSE CI 59.692(1V)GAZEBO❑ STAIRS❑ FILLING/GRADING❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE❑ <br /> I z <br /> STRUCTURE/ADDITION USE: S t O r Qg �' S h 2 [A <br /> (� (Home/Cabin;Commercial Business; Bedroom; Deck;etc.) <br /> BUILDING CONTRACTOR: 5 e IY s <br /> S W <br /> z <br /> AP LOT PUN MUST BE PROVIDED ON AN 8'/s%11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PUN DRAWING: (ARIAL OR TOP VIEW) <br /> I. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. - F. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW p A <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, J <br /> AND INDICATE NORTH (N). c \ Z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) p _ <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM)OF _AKE, STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. 'IJ O <br /> 9. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES m ) <br /> TO BUILDINGS, ROADS, _AKE,LOT LINES. O <br /> S. INDICATE IF A WALKOUT BASEMENT IS PUNNED AND SHOW AREAS TO BE GRADED OR FILLED, <br /> U 1 w <br /> 6. IF SEPARATE PNS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR,ETC.,THE - <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. T N <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. r <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: QQw b <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION 1S RESTRICTED ALONG SHORELINE. ``YY c <br /> 3. NO GRADING OR SHOREUND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. d <br /> 9. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER IIV� <br /> SETBACK AREA. Q) <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. _ <br /> 6. <br /> 7. <br /> F , 6 = a <br /> I declare athatnd is application true,(including any accompanying I icknowled e)bas been examined by r the detail <br /> to Me d accuracy <br /> my _ e z <br /> information contained <br /> belie[iiishis a rorratianti complete. Iaccompayinthat <br /> eul responsible for theare thandamnize ofall _ - <br /> informationIamprovdiMisilltorellon(inclWinganyacro of Buret Wisconsin <br /> in <br /> Ifildher terminng whether <br /> that Irecognizethat this > e_N <br /> further aentam providing that <br /> may <br /> bea repot by Me countyofBurnett Wyingo this <br /> information <br /> nfer determining wM1eMervi ding in permit t <br /> furtM1cator. Tall liability Mat may bea dills of thecountywith of Burnett ingcunt Misinances oonlarauthotling in Misapp = - <br /> haveation. Iagree toPermit counts oMcials charged administrating if inpeetimtM1erautborizea person to <br /> have access to Me above-tlescribetl premi at a¢y reasonable time for Me purpose olinspecHon. <br /> OWNER'S SIGNATURE /� � 'Ir�-I - '• q4 �=� <br /> (tla Is Far � vs?mrAn - <br /> ZONINGADMINISTRATOR_ INCE ECHW E. D E �F x ? <br /> <TOWNSHIP PERMITS MAY BE REQUIREDMAY 14 2013THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF > _ <br /> SURNETTCOUNTY - I-I <br /> o ZONING ��N <br />