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Burnett County 7410 County Road K, No. 102, Sken, WI 54672 Office of Zoning Administrator e <br /> APPLICATION FOR LAND USE PERMITS a. y <br /> I U <br /> OWNER 1 7 TELEPHONE n <br /> d- 44-- m 4 . fQ,N.S-Q �/.$ ' 26 .& - 3 <br /> MAILING ADDRESS 7 <br /> PROPERTY ADDRESS ors .4u kc �cl W a 1 <br /> LEGAL DESCRIPTION G lots 4-^� / S <br /> /l, <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ADDITION ❑ DECK❑ GARAGE/ACCESSORY STRUCTURE❑ m <br /> E <br /> BUNKHOUSE❑ 59.692(1V)GAZEBO❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ 5' <br /> STRUCTURE/ADDITION USE: `�' � lea a <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> 0 <br /> BUILDING CONTRACTOR: Jo son �o..�, 'l"`f r�_t-�`c)�. — pCcs<o PF w", 5ye•5 <br /> n <br /> 71S--a6a- e./ee.t.'* ,Y r• c4l0444y 'p � <br /> A PLOT PIAN MUST BE PROVIDED ON AN 8%X11 SHEET OF PAPER. ANY INCOM <br /> WILL BE RETURNED. PLETE OR ILLEGIBLE PLOT PLANS o_ <br /> n , e <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AR1AL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n <br /> a <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW 'a c <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B) BUILDING(S) N ? p <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK " Z� <br /> (OHWM) OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. 3. 91 <br /> S. 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, ETC.,THE o 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. y p <br /> Q <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> r <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. UJ <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. z LII <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. r <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. I <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY.NOT TO BE USED FOR HUMAN HABITATION. <br /> 7. � R <br /> r, Bry�y <br /> I dedare that this application(Indudkg arty accompany"adneduk)has peon examined by me and to the beat of x 3 e 6' 7 <br /> knowledge and bailef it b true,correct and complete. I advnovdadge that I am responsible for the detail and acoal cj of all 5 e 5 w yq <br /> Information contained In tltla application(Including any accornpanybq sdmdule)and I father dedare UW I ro0ognhe that this NAE <br /> >m a <br /> kfomnatlon I am PrOMIng wa be railed upon by the Courtly of Bumex Wisconsin In determ"wheaten to�K a perms I i' 'o.� iNater accept all MWIlty that may be a result of the County of Burnett relykg on tints M ..ation I am providing b MIs g aPPlkatlon. I agree to Permt county offiWls diarged with it «H <br /> access to the alto aaa�a�*w Amy ordinances or other autlronad person to have o ^': r <br /> ve-debaWed Prernases nY time far the purpose of Inspection. 5 8 8 u A <br /> OWNERS SIGNATURE 3 '�v_V� � 5co88rH�. <br /> (dace) <br /> 20NING ADMINISTRATOR y u O R <br /> w ; 6 <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE7. <br /> N N U p <br /> U U 8 0 0 0 p <br />