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z� <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Of m of Zoning Administrator - L <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER f',(� I 'T II i , (/j/B✓ TELEPHONE/J/ p q <br /> MAILING ADDRESS `.Z 10 W s ✓�LI}Ylt'I••+�. �O iL..rL(� F•l.11f_nt �l <br /> PROPERTY ADDRESS NJl4l /.t.�2 Le <br /> .dam Y <br /> LEGAL DESCRIPTION OE Jµ,_ -� � J. �YV��{(/ <br /> TYPE Or PERMIT(S): SINGLE-FAMILY DWELLING C ADDITION C DECK 0 BARAGE/ACCESSORY S UMREV I— n <br /> BUNKHOUSE 0 59.692(1V)GAZEBO^_ STAIRS C FILLING/GRADING 0CAMPING UNIT 0 <br /> COMMERCIAL BUILDING C COMMERCIAL ADDIDON 0 COMMERCIAL ACCESSORY STRUCTURE C 3 <br /> STRUCTURE/ADDTTION USE: QG✓P�L��jy pv��0�d n;ikt>1tc47- i— c <br /> //�� (..ome/Cal!!m;Commernal aslness; eeoroom; Deck; etc.1)!/ <br /> BUILDING CONTRACTOR: 4U L1-- <br /> A PLOT PIAN MUST BE PROVIDED ON AN 8`/a X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS I— p <br /> WILL BE RETURNED. <br /> r <br /> DIRECTIONS FOR PLOT PLAN 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/STRUCNRES(EB)AND ALL NEW Im c <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, l ` <br /> AND INDICATE NORTH(N). Cy c fry i <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILOING(S)TO ALL LOT LINES,(B) BUILDINGS) 5 v ' <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY H'.GH WATER MARK <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. —I� LS__ <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. C)7 i^� (` ❑ <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR,ETC.,THE t E <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 /> � I <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 /> 5 <br /> 2. REMOVAL OR OR SHOR OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING ES SHOLUDING ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. 1 n1 <br /> 9. NO BACK ANRES,INCLUDING RETAINING WALLS, ETC.,ALLOWED VILRIIN THE REQUIRED WATER ; <br /> SETBACK AREA. I� <br /> S. ACCESSORY STRUCTURE/ ARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. Q <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> T a > rnr, o > � — <br /> I declare that this appliation(Induding any accompanying schedule)has been essmired by me and to the best of my z o,6 a u ? E S <br /> knowledge and bellef It is true,correct and complete. I acknowledge Mat I am responsible for the detail and accuracy of all <br /> informationconNined inthisappliatum(Indudinganyacmmpaoying sdhedule)andlfurNerdedamthatl recogniaethat Nis __ > v <br /> information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit 1 <br /> further adept all liability Nat may be a result of Me County of Burnett relying on this information l am providing in this _ t; ` _ <br /> appiiation. Iagree to permit county officials charged with administrating county ordinances or other authorized person to <br /> have access on,the above4escrlbe emisez an le time Rhe purpose of inspection. <br /> OWNER'S SIGNATURE_ lr+r �• t y4914 ° c H <br /> ZONINGADMINISTRATORc"—ry II CHISED <br /> OWNSHIP PERMITS MAY BE REQUIRE L MAY 12 2014 4 O A <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE SUANCE . . <br /> -- <br /> BURNETT COUNTY ' € <br /> ZONING `J <br />