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L <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator _ <br /> APPLICATION FOR LAND USE PERMITS L <br /> OWNER TELEPHONE <br /> 2a0 - iCl9 <br /> MAILING ADDRESS P 0 ��l / 4-) k ;,j <br /> LC <br /> 10PROPERTY ADDRESSS UQ/ I � '\kf,, LI( Rd1 a <br /> / ( V \c)� <br /> LEGAL DESCRIPTION I IJ' l7� PIE <br /> TYPE OF PERMIT(S): SINGLE-FAMILY WELLING ADDITION ❑ -DECK U GARAGE/ACC SSOJRY`PL STRU /RE❑ ❑ '�C/ �f•/ <br /> BUNKHOUSE 0 59.692(IV)GA2EBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT❑ S <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDITION 0 COLAMERCIAL ACCESSORY STRUCTURE ❑ = <br /> STRUCTURE/ADDITION USE �(��Q �CLY✓1 e�[ ��N-� <br /> BUILDING CONTRACTOR: <br /> (HmCabi <br /> //o //e/ n; m <br /> amercial Business; room; Deck;etc,) <br /> �✓ (0 <br /> �l'CCG2 <br /> < O <br /> z < <br /> A PLOT PLAN MUST BE PROVIDED ON AN B'/2 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS 0 <br /> WILL BE RETURNED. " c. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. oa <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). AX.) c N z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B) BUILDING(S) Q <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH 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 O <br /> C+ i <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. a I� <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. i� d <br /> 6. IF SEPARATE PIANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE S ? <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. I ' <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: JIC' <br /> I <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 1 <br /> 3. NO GRADING OR SHOREIAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. y <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 /> 6. ✓af,(,d 7S-Fao6 r„ ail g "SounsaU /114s 4 *0 Weld l.lebVCL 29 V(Ai 2013. <br /> ]. > m <br /> Itledare that thisapplicationit isftru (includinganymplete. Iackowlede)M1atbeen examinedby me e for <br /> the <br /> [ails Bertuof my <br /> knowledge <br /> rmatio and beliefitistrue,correct and complete. Iaccompayin MateulI am responsible Tor ecdetailantlaccuracy of all _ - <br /> _ - <br /> informationcampretldi thisapplication <br /> he relied! <br /> elion(incnbyt any a County of Suringt Wisconsin in determining <br /> whelarether <br /> pertat issue azethat mit. Is <br /> further accepn It <br /> am providing t will a be a result <br /> by Me County of Burned <br /> relying <br /> n Wisconsin information <br /> wM1et prY providing <br /> i a permit ] <br /> furtberion. I 11 liability that maybesresult ofrthe d withafBurnettingcunty ordinances <br /> rolarauthodingpMis <br /> application. Iagree to permit county officials charged with administrating county ortlinances or other authorized person to <br /> have aaess[g[M1e above-0 rib premises scary reasanabl ti mr Me urpose of inspeRio _ <br /> OWNER'S SIGNATURE PTO <br /> ' m G <br /> (date se 2 ,. <br /> ZONING ADMINISTRATOR - MAY L'2 J(I)a <br /> --�"_ d pe <br /> TOWNSHIP PERM1 TS MAY BE REQUIRED BURNETT COUNTY a ) <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUAN2NING _ <br />