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r <br /> 'b <br /> BurnoEE Camnty 7010 County Road K,No.101, SiMNM,WI 54872 OlticC Atoning Administrator il <br /> n <br /> APPLICATION FOR LAND USE PERMITS s x r <br /> OWNER HKO"o _ .Ir TELEPHONE 715-656-3352 = <br /> tl/�A C <br /> MNLINGADDRE55 )RSO Oa SI DBnbe M5483 <br /> PROPERTY ADDRESS 7R500ak St WryM SAM 'U <br /> LEGAL DESCRIPTION See atlatlNO 4 1 <br /> TYM.1 PERPOT(S): SINGLE FAMILY DV)EWNG ADDITION DECK X GABAC>F/ACCFSSORY STRUCTURE <br /> BUNKHOUSE 59.692(1V)GA]EBO STIRS FILLINCTIGRADING CAMPING UNIT <br /> COMMERCIAL BUILDING COMM.ERCUL ADDITION COMMERCIAL ACCESSORY STRUCTURE <br /> STROCIURE/ADDIITON USE: cm. <br /> (Hmne/CaN,;Cpmn«a4�.m,Balmmn;D k;M.) IN n G <br /> BUILDING CONTRACTOR: NOMI M Bu9H I <br /> n i <br /> A PLOT PUN MUST BE PROVIDED ON ANS' XII SHEEP OF PAPER. AMT INCOMPLETE OR ILLEGIBLE PLOT gANm F i� <br /> WILL RE RETURNED. <br /> DIRELTIONS FOR PLOT PUN DRAWING: CARIAL OR TDP <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO RE SHOWN OR DRAWN TO SCALE <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EKISTIW WILDINGS/STRUCTMES(ED)AND AIL NEVI F <br /> BUILDINGS/STRIKTWES(NB),INCLUDING DEW,PORCHES AND OTHER SIRlK , is I <br /> AND INDICATE NORTH(N), I\ �� <br /> 3. SHOW DIMENSIONS IN FELT OF THE FOLLOWING: (A)DUILDINC(S)TO ALL LOT LINES,(B)BUILDING(5) C <br /> TO CQfRRIINE OF ROAO,(C)BUILDING MEASUREMENT(5)TO THE ORDINARY HIGH WATER MARK 3 � <br /> (OHWT1)Of MAKE,STREAM OR RIVER AND WETIAND AREAS,AND(D)LOT DIMENSIONS, S I� <br /> 4. SHOW THE LOCATION OF THE WELL(\Y),SEPTIC TANK(ST)AND ORAINFIEIO(OE),AND ALL DISTANCE5 <br /> TO BUILDINGS,ROADS,LAKE,LOT MINES. R <br /> S. INDICATE IF A WNXC T BASEMENT 15 PLANNED AND SHOW AREAS M W GRADED OR FILLED. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHIFECF,ENGINEER,BUILDER,CONIMCTUR,ETC.,THE ! <br /> PIANS MUST BE SIGNED AND DATED BY THE OWNER. ((IITJJp„� <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKE.SO AN ONSITE VERIFICATION MY BE DONE WH EN <br /> MEEIM D. C� <br /> THIS PERMIT IS SUBJECT TO ALL CONDIRONS LISTED BELOW: Imo, a <br /> 1. DRIVEWAY MUST MEET DRIVEWAY MOTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. R (JI d <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION R RESTRICTED ALONG SHORELINE n .� <br /> 3. NO GRADING OR SHOREINiD ALTERATIONS ARE ALLOWED UNIESS SECCEICALLY PEIAMITTED <br /> 4. NO STRXC RES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCNRE/WRAGE PERMITS AIMW FOR PRIVATE RESIDENTIAL GARAGE/STORAM ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> � Aa >gm <br /> ). G ; Fj � = 3x ,ii <br /> q5 .R1 <br /> lde Wm"nmmeaRaBnn(IntlWlnq anY+®nNariFlnO mtlNaeb)Iw ee[n examinN OY mnaM to tlw 6eKOI mY kIprNOye 3 0.5 X n iia' <br /> anJ 6[IMhb6ue,mneRa,W wmpla4. [eclowMWpeINLTam,npenclOY fortlw 0e0l1 artlamaxy PPA lnMnuWA ,`a 6 > y <br /> tunblrgE In Ila appYmlbn(FduAlnB anYm®mWnYInP RAaAUR)anE1NMMJCLmllmtiremgnlze tAR abinWmwtbnL $ uR g$_. i. � <br /> aA yeam�aaR 6e mtea upon MrYMlr rounp«BnnnslwAm,an lnmunNar�o meaMR«m bwea PvnRL lmaim.a�RM an .� D , = <br /> 6a6aaaamL mmY eea mmnaemm roonayar anmeM TaNromfM.inNrmamnMam PmwMnPmmbaPpkmMen. MaP,«m z �� �.•••: <br /> PmnrcwY.MY ar�ab<nm,Paa.an.emlamanno m.nn«a;na,wa«m�..m.uuMae Pa,wmm�a....m.mlMr asmm- _ q So: Qy <br /> OaniMO Pm�mea m[enYm Bme f«WW % aaW v�1 <br /> OWNERS SIGNATURE_= - A� <br /> ZONING ADMIN)STMTOR _TOWNSHIP -R <br /> S II ZO�T NQ ��m <br /> THIS PERMIT SHALL EXPIRE ONE <br /> YEAR FR M DA1TE RED Of Agp E lWE 0 <br /> eoao8 <br /> JUL 3 0 2014 <br /> BURNETT COUNTY <br /> ZONING <br />