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i <br /> Burnett County 7410 County Road K, No. 102, .Siren, WI 54872 Office of Zoning Adml strator z <br /> APPLICATION FOR LAND USE PERMITS a P <br /> OWNE ¢� SOS, QnSO TELEPHONE a w <br /> rt Sal- 7?S-66 Pf <br /> MAILING ADDRESS ST- <br /> PROPERTY <br /> J� <br /> C Q" <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION 41 <br /> S >z 7 c{o a ,e t CAA - Lar 13 e-Sm v s P Pi I LI <br /> TYPE OF PERMIT(S): SINGLE FAMILY DWELLING GARAGE/ACCESSORY STRUCTURE 0 ADDITION 0 STAIRS 0 _ �p <br /> FILLING/GRADING 0 (CAMPING UNIT 0 BUNKHOUSE$$ 59.692(1V)GAZEBO 0 DECK 0 <br /> STRUCTURE/ADDITION USE; G`�k 6 l ✓1 L^ <br /> � nn(Home/Cabin; Commercial Business; Bedroom; Deck; etc.) c <br /> BUILDING CONTRACTOR: 84 i lL1C < reZ GLc r7', �Q S B G,td <br /> -Ae- ¢. lcm we/`c is 7-/0ea-s Oid. IIWt <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Ya X11 SHEET F PAPER. ANY INCOMPLETE OR ILLEGIBLE PLO PLANS n <br /> WILL BE RETURNED. a 3 <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP EW) D� 2 LJ <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO E SHOWN OR DRAWN TO SCALE. p <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTIN BUILDINGS/STRUCTURES (EB)AND ALL NEW C V <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DEC S, PORCHES AND OTHER STRUCTURES, to <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING (A) BUILDING(S)TO ALL LOT LINES, (B) BUIL ING(S) I <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUP EMENT(S)TO THE ORDINARY HIGH WATER MA e <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. N <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC rANK (ST)AND DRAINFIELD (DF),AND ALL DIS ANCES y o <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. 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, ET ,THE <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. 1 <br /> y <br /> NOTE: NEEDEINNG/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE NHEN !7 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATI N IS RESTRICTED ALONG SHORELINE. n w <br /> 3. NO GRADING OR SHORELAND ALTERATIONS AREALLOWED UNLESS SPECIFICALLY PERMITTED. 6' <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER C <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOV FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> ThI-S P-9,(nil alltlws qtor -tra,asfe, f OSe onry-&om aeczssery 6f-uch e, <br /> 7 -fo dv�ell, 5 . f)l f o+l �✓ chanjes m + be re✓itwed by ebvrt +eaun+y z ;� s n° $�m R pD 4 <br /> R <br /> 3 '�.�w' c w � w <br /> I declare that this application(Including any accompanying schedule haps been examined by me and to the best of my kno edge s �, w n <br /> and belief It Is true,correct and complete. I acknowledge that I am s onsible for the detail and accuracy of all Informatio e <br /> contained in this application(including any accompanying schedule) nd I further declare that I recognize that this Informal n I ?: Y <br /> am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I further a <br /> pt all 8 <br /> liability that may he a result of the County of Burnett relying on lfils Informatlon I am providing In this application. I agree c n N a `w" (�+ <br /> permit county otncials charged with administrating county ordinanceor other authorlmd person to have access to the abo - e <br /> described premises at any ma able time for the purpose of Inspec Ion. D <br /> e _ > <br /> OWNER'S S14 M, 5�;(ILI IT <br /> (date) .`� y 'O o a a <br /> elm Ffa�(� � ��ew <br /> ZONING ADMINISTRATOR S < g=.: <br /> TOWNSHIP PERMITS t�AY BE REQUIRED <br /> YY� w i in <br /> THIS PERMIT SHALL EXPIRE ONE EAR FROM DATE OF ISSUANCE <br /> s= <br /> o � Uo <br /> �elMl� j- (e- kr,- /} Ci�G� 7vn7Or�evi�ov� -a7- <br />