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' �O � Waferfron �' <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER era O�( �J(J / TELEPHONE 7r_ <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS 303y /' GI'1 / YVJQ ///1 WGbS FPr /L�r' Sy8('y93 5 <br /> LEGAL DESCRIPTION S f1I—TV—ODA1_TL�/ ' QC3/O'jJ. LO� � (�p�a CS/YI u/—d✓7 <br /> TYPE of vERMIi(5): SINGLE-FAMILY DWELLING❑ ADDITION DECK ❑ GARAGFJACCESSORY STRUCTURE❑ u IIJT— <br /> BUNKHOUSE❑ 59.692(1V)GAZEBO❑ STAIRS❑ FILLING/GRADING ❑ CAMPING UNIT❑ _ n <br /> COMMERCIAL BUILDING IT COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE❑ <br /> n <br /> STRUCTURE/ADDITION USE: l7 0.l 1Xq e A�arl T�orq� 7N d i O /1A GL' / ,S�oIaGP I� <br /> (' <br /> (Home/Cabin;Commercial Business; Bedroom; Deck; c.) 111 SPwc <br /> BUILDING CONTRACTOR: S� IT _ <br /> F <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'/z X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS c <br /> WILL BE RETURNED. r <br /> DIRECTIONS FOR PLOT PLAN DRAWING (ARIAL OR TOP VIEW) U <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/STRUCTURES(EB)AND ALL NEW O <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, 90I - <br /> AND INDICATE NORTH (N), v+ z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES,(8)BUILDING(S) <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 ? I <br /> TO BUILDINGS,ROADS, LAKE, LOT LINES. <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 1 _ <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. —1 S <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: r^Ic <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. Y <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION I5 RESTRICTED ALONG SHORELINE. z <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. p <br /> 4.—NO STRUCTURES, INCLUDING RETAINING.WALLS, EC.,ALLOWED WITHIN THE REQUIRED WATER Y _ <br /> SETBACK AREA. - <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GA <br /> RAGE/STORAGE ONLY. B J f <br /> NOT TOBE USED FOR HUMAN HABITATION. <br /> /Yjl4. To- <br /> 7. <br /> 6. X /Uum.k�ev aF- (��IrxJms T N <br /> 7. � F > nr: nin > c � <br /> Ideclare that this application(including any accompanying schi has been examined by me and M the best of my <br /> knowledge and belief it is true,correct and complete. I acknowledgethat v moo' ' R <br /> information contained in this application(including and <br /> Ifurt for the that <br /> t I recognize <br /> that <br /> _ _ _ l > <br /> any County <br /> of Burnet Wisconsichedule)n <br /> antl 1 ter mininher g he her I recognize Mat this E g o> c ti <br /> informaaccept tionIam proility that <br /> may <br /> th,a repot of the <br /> CountyfBurnett Wisconsiniis information <br /> wM1MberMisgin this <br /> application. <br /> > <br /> aurtM1erion. Iall liability Mat may bearesuls ofMed with administrating <br /> Burnettingcunt relying on Mrdinances or olamuthoried inrso > r Z <br /> have a[ion. otheetoe-deitcountp officialschargedargetlsonale Umeorthe purple off ordinances or erauthorized person[o 1n r <br /> have access to the above-describe premises afa yreasonable tlme for purpose of inspection. <br /> S/i - � _ > <br /> OWNER'S SIGNATURE Ty((/� <br /> (dace) D V r .2 O <br /> ZONING ADMINISTRATOR <br /> MAY 132014 � maF <br /> TOWNSHIP PERMITS MAY BE REQUIRED _ - <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUAN E _ <br /> BURNETTCOU � <br /> ZONING <br />