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g � o <br /> Burnett County 7410 County Road K,No. 102, Siren,WI 54872 Office of Zoning Administrator :: <br /> APPLICATION FOR LAND USE PERMITS <br /> o <br /> OWNER <br /> U( ✓� TELEPHONE �Z_6ov- 63 6 <br /> Qrtt <br /> 0 <br /> A E <br /> MAILING ADDRESS 14Q 7 U S C4. L/^O LAie AN SSD OCy <br /> CJ <br /> PROPERTY ADDRESS 12.11 Rober+s Rd, Sco# Tws WT <br /> <. <br /> s <br /> LEGAL DESCRIPTION I L <br /> TYPE OF PERMIr(5): SINGLE-FAMILY DWELLING❑ ADDITION❑ DECK❑ GARAGE/ACCESSORY STRUCTURE❑ L[`� <br /> BUNKHOUSE❑ 59.692(1V)GAZEBO❑ STAIRS❑ FILLING/GRADING❑ CAMPING UNIT❑ <br /> s <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDITION ❑ COMMERCIAL AC RY SI RU RE❑ <br /> STRUCTURE/ADDITION USE: <br /> cab;, LA1`t,LS _ <br /> (Hanne/Cacm;LOMMeMdl DUN'IeSS; room; ;e <br /> BUILDING CONTRACTOR: Wi lAnes CA(/ &LAe ds6 G <br /> c <br /> A PLOT PLAN MUST BE PROVIDED ON AN B 1/2 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS ,Oi 12 <br /> WILL BE RETURNED. n ii <br /> M O <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m '0 n <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW © El <br /> 0 <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, J <br /> AND INDICATE NORTH(N). 9 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) E c' <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK pp m0 <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 <br /> TO BUILDINGS,ROADS,LAKE,LOT LINES -F <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 „C <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. -C \ Cq <br /> NOTE: BUILDINGISTRUCILRE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN y u) <br /> NEEDED. O <br /> THIS PERMIT I5 SUBIECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. Q <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 WATER b_ 41 <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMIT'S ALLOW FOR PRIVATE RESIDENTIAL GARAGEISTORAGE ONLY. <br /> NOT TO BE USED FqR HUMAN HABITATION. y e,.--p'. �� <br /> . <br /> 6. R1 _'jj(r1Cjl 'va "v1 ak7 lak,dsC�t� WDYItrvu't-s f- be - o <br /> Ian �ALJin <br /> D.-A r.-Atr .If'? t1 (,J A, ✓rvi.R,r arldon�N as tv7d'?&kdo) +" tjolol <br /> 7 i7.W vA L �M1 i —rlyr, t=1 0.1�Izi r c n <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my B 0 '2 .w <br /> knowledge and belief It is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all <br /> Information contained in this application(including any accompanying schedule)and I further declare that I recognize that this <br /> Information I am providing will be relied upon by the County of Burned Wisconsin In determining whether to Issue a permit I 5 c ?coca v�: •y <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing in this v g, : in: <br /> application. I agree co permit coumv charged with administrating county ordinances or other authorized person to '° n °= �' : 8 .r. <br /> have access to the above-desai at any reasonable time for the purpose of Inspection. <br /> OWNER'S SIGNATURE (date)21 <br /> 4 )2 II ^ Y� n H F C <br /> €� � = z <br /> ZONING ADMINISTRATOR O S.- o'0 M <br /> TOWNSHIP PERMITS MAY BE REQUIRED - , <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> PEi i4- 4- ie �4eimeLled -b <SharLe_ uu- <br /> 1nn <br /> J u N{SII U U O <br /> yi $000 <br />