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Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator o' o <br /> APPLICATION FOR LAND USE PERMITS ^ `/a+ <br /> OWNER RL£XAa�'R *.�c"EPEf i- Ammit TELEPHONE ' aa`� S3iQ <br /> MAILINGADDRESS 9�6 F.AOMVAUL MN) 55104 = h <br /> a wdUd��4q-.1 <br /> PROPERTY ADDRESS Lr Q� 1 (loll()WOAO "�R�11L SP�•vy� 1 �,5 O <br /> LEGAL DESCRIPTION5f[ 13 ) �q N ` R, I q <br /> SINGLE FAMILY DWELLING GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ STAIRS ❑ <br /> TYPE OF PERMIT(S): 1T n 59.692(iV)GAZEBO Cl DECK ❑ �' ^ <br /> FILLING/GRADING ❑ CAMPING UN iYMIfJ � <br /> STRUCTURE/ADDITION USE: 0 <br /> A(Ho[m�e/Cabin;�C/o�mmerciTl Business; Bedroom; Deck; etc.) _ <br /> BUILDING CONTRACTOR: r I IM 60 05 ` ` O ` 100 <br /> E It Kh0b;6 n jZd 1A Wla 1A W1, 5W30 11.52 !3395' w <br /> PLOT PLAN MUST 3E PROVIDED ON AN 6 ya X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS G <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) I a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. cq <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) BUILDING(S)TO ALL LOT LINES, (B) BUILDINGS) n <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK v <br /> F LAKE,STREAM OR RIVER AND WETLAND <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)� D <br /> )ANDDRAINF ELLD (DF), AND ALL DISTANCES <br /> o <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. 0° <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 ° Q) <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 /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: i <br /> � z o <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. r? <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. N <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER a <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTiAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUU1MAN HABIT,IA,T,,I"OIN..,� L / ��r, n, t <br /> 6. (n(,LS"i- b - �rl frLd '75r %Y!!n/utTW v� �`(� s �' 'QCT t^-(J nrhp q <br /> X orfWu OF {-losel)f Lwetc y J ^ 7o a n I R $_ t''1 <br /> Mo56 be a �o Fw s°,� 4ssowm� c9 L. o m - <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my knowledge <br /> and belief It is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all Information e ? <br /> contained In this application(Including any accompanying schedule)and I further declare that I recognize that this Information I 7R <br /> am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I further accept all oU N g <br /> liability that may be a result of the County of Burnett relying on this information I am providing In this application. I agree to ^ <br /> permit county of clals charged^administrating county ordinances or other authorized person to have access to the above- 6 [] <br /> described premises at any rele time for rpose of inspection. <br /> OWNER'S SIGNATURE o n a <br /> ZONING ADMINISTRATOR i aanlaan <br /> AUG t tom <br /> TOWNSHIP PERMITS MAY BE REQUIRE <br /> TTT��b�b y w <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DA F � COUNTY <br /> ZONING <br />