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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator Z <br /> APPLICATION FOR LAND USE PERMITS . <br /> f1952. 9sro 9`7y 7 <br /> OWNER TELEPHONE W_(o/?- <br /> MAILING ADDRESS GfREta.v ,�.E/NC /✓fir _ <br /> HiN.�lyra A;0ti _.q-'F <br /> PROPERTY ADDRESS ?� C�N77 xa/}a i ����L•' tl' p <br /> /3W4.4Ifr Geouw.r7 lrXsc. 1 <br /> v o <br /> LEGAL DESCRIPTION '40V't ,Lor Z, -SeT/ioy 00, r9 9A.1 /Lata 70t-� Ol 7iuWa G.a nrar J <br /> 5 <br /> SINGLE FAMILY DWELLING GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ STAIRS ❑ o 0 <br /> TYPE OF PERMLT(5): - ,2 <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ DECK O 4- <br /> STRUCTURE/ADDITION <br /> STRUCTURE/ADDITION USE: — '4mlg <br /> �a <br /> (Homme/Cabin; Commercial Business; Bedroom; Deck; etc.) ; <br /> BUILDING CONTRACTOR: 41ogr Oyr Z'enxrmacrl^+ I A <br /> �o <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. <br /> F C x, <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) E. d <br /> 6 <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. rnl O <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B) BUILDING(S) <br /> TO CENTERLINE OF ROAD, (C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK J 3 <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 y o <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. 5 <br /> w O <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, ETC.,THE – W <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> r, ti <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN VU �� 41,� <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: 9j <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. F^.'.. Z Z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. >: <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATERDq <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> coe <br /> 7. <br /> V a � ;W. <br /> 1 d heli that this ,correct a d complete. <br /> any accompanying schedule)has been examined by me and u the best of or knowledge g z y n 5 <br /> and belief It Is true,correct and complete. 1 acknowledge that I am responsible for the detail and accuracy of all information 7r o <br /> contained in this application(including any accompanying schedule)and I further declare that 1 recognize that this Information I ' R > <br /> am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a Dermic I further accept all — 'a <br /> liability that may be a result of the County of Burnett relying on this Information I am providing In this application. 1 agree to F n M S 8 r <br /> permit county officials charged with administrating county ordinal}es or other authorized person bD have access to the above- B n <br /> described premises at any reasonable a Por the purpose of tio <br /> 6ecn. m C1:s = > <br /> FL 9 <br /> OWNER'S SIGNATURE ''•Q ' -- Z <br /> itlebTTf 4er <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERMITS MAY BE REQUIREDQUG U7 _ <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE W 8 E." <br /> le 'loicKPd U� l�j K��� F rBU iONINi�ivry <br /> 9-/c -D-7 <br />