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Burnett County 7410 County Road K. No. 102, Siren,WI 54872 Office of Zoning Administrator , t <br /> APPLICATION FOR LAND USE PERMITS I i <br /> OWNER TELEPHON <br /> �l+TRTGT � R. TdKNSOL �71a� 91 ` �� 15 Z � l <br /> n _ m <br /> MAILING ADDRESS��a�� <br /> _= <br /> PROPERTY ADDRESS C <br /> ?lo�oa �V+oT4(A RD. wc'asrt6rv' I WL b�85 � <br /> LEGAL DESCRIPTION 9 <br /> Id�t eF ,jlc/"a -ti£'4 S fro), /S 71 217Nr)r o,,U a4 �dn;4j�H. <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING O ADDITION O DECK O GARAGE/ACCESSORY STRUCTURE�( 2 <br /> BUNKHOUSE O 59.692(lV)WEBO O SFAIRS O HLUNG/GRADING O CAMPING UNIT O _ <br /> COMMERCIAL BUILDING O COMMERCIAL ADDITION O COMMERCIAL ACCESSORY STRUCTURE O 3. <br /> STRUCTURE/ADDITION USE: G'ReaN HOUSE �z <br /> (Home/Cabin;Commercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: yG 17 t0kUC' <br /> z < <br /> A PLOT PIAN MUST BE PROVIDED ON AN 8'/2 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PUNS <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PIAN DRAWING: (ARIAL OR TOP VIEW) <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 d 1 3 <br /> BUILDINGS/STRUCTURES,(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, \ m <br /> AND INDICATE NORTH(N). C> R <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BURDING(S)TO ALL LOT LINES,(B)BUILDING(S) ' <br /> TO CENFERLINE OF ROAD,(C)BUILDING MEASUREMENTS)TO THE ORDINARY HIGH WATER MARK Q <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D) LOT DIMENSIONS. ppp - <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES W <br /> TO BUILDINGS,ROADS,LAKE,LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. Z3 - <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR,ETC.,THE 1 <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. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. jTy <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. d F <br /> 3. NO GRADING OR SHOREIAND 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 HUMAN HABITATION. _ <br /> G. <br /> ac <br /> I declare that this application <br /> knowledgeof (including and complete <br /> acknowledge <br /> been ewminetlbyr the dtailand accuracy <br /> and belief ii is true,corren n(including complete. I acknowledge Nate ul responsible Tor[be detail and accuracy of Oall <br /> information I am pned ding ill be rancid pbye County of any Burnettng Wisconsin <br /> and et rmining whetheare [l issue recognize permit <br /> this _ 3 <br /> utheracinformation I am providing will be relied upon of h e County f Burnett Wisconsin in determining whether issue a permit 1 c c —C <br /> further accept all liability that may bearesul[pI[he County of Burnett relying on this information lam providing in this <br /> _ G _ <br /> application. I agree to permit county officials Charged with administrating county ordinances or other authorized Person to <br /> have access to the above-described Premises at any reasonable time for the purpose of inspection. �l �w (I <br /> OWNER'S SIGNATURE 5 — 7 —�O( 3 ,? _ ` <br /> c 3 i <br /> ZONING ADMINISTRATOR_ <br /> C; <br /> TOWNSHIP ERMITS MAYBE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />