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66-68-2614 17:46 LION MEC35ION 6514846824 P4GE1 k <br /> Burnett :aunty 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator F, i. <br /> ' 1APPLICATION FOR LAND USE PERMITS <br /> OVJNE0. I 'd=r/ " TELEPHONE71-- SQg_2TS S <br /> MAILING ADDRESS 6?37 Nohowc-�(—ahLA0 1-al(eS NjNSsay '� J I <br /> PROPERTY ADDU55 1joo Woom FGf'� (Je f- <br /> LEGAL.OESCN r: <br /> TYG[OF PEHMFT(S):!T(5): SINGLE-FAM0.Y OWEW NG ADDITION DECKRAGE/ CESSORY STRUCTURE. 1 <br /> BUNKHOUSE 59.692(IV)GAZEBO STAIRS RUJNG/GRADING CAMPING UNIT <br /> COMMERCIAL BUILDING COMMERCIAL ADDITION COMMERCIAL ACCESSORY STRUCTURE u• `�+— <br /> BTRUC'TJRQAODITION USE: J 4 <br /> (Home/Catxm, Cornmercl Buslness; Bedroom; Deck: eta.) Ly <br /> BU'L.DING CONTRAQOR: <br /> r � <br /> A FLOT PLAN MUST BE PROVIDED ON AN B W XI l SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT MANS ' 2 1 <br /> WILL BE RETURNED. <br /> n 70 <br /> bIREC170NS FOR PLOT PLAN DRAWING: (AREAL OR TOP VIEW) ^ <br /> 1. ALL REQUIPED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. _ e <br /> 2, SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW M - l` <br /> BUILDINGS/STRUCTURES(NE),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). 3x <br /> 1 SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES, (B)BUILDING(S) G <br /> 10 CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK $U <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 �lJtUl <br /> TO EUI DINGS,ROADS.LAKE. LOT LINES. f: <br /> 5. INDICATE IF A WAU(OU;BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 1 <br /> 6, IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE <br /> PLANS PLUS"IBE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUIIDING/STRUCTURE LOCATIONS MUST Be STAKED SO AN ONSRE VERIFICATION MY BE DONE WHEN <br /> NEEDED. I— <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <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. <br /> 3. NO GRADING OR SHOREIANO ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. I A <br /> A. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER �J <br /> SeIFBACK'AREA. <br /> ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENRAL GARAGE/STORAGE ONLY. <br /> NOTTO BE USED FOR HUMAN HABITATION. r <br /> 6 ! <br /> 7. <br /> (lane _.F <br /> L deCary c+a ma.ywl<acw;Onaualno am aaamwnynP a dme)L�e w c.ammaa by ma aye m tna Hast m my gFg f,? �.�. Iz. .+, <br /> 4:roM Mgt en, aenef tt la we,m , and cmnWate. 1 eMawor Net 1 em and <br /> I W b fur Me detell I acmreor a an 5� <br /> :nf4rmaUsn mn[alncG In Ihls aCPllcaUon(IMudllp BnY aRpnWnYlnB N11adUk)dad 1 fu,iner detlale Illat I n:cv9nlm tlw[Mb > D S <br /> ,r,—Van 1 am pmvldlnp will be mhed upon by the[aunty W B -m Wlsmn[In k dete,minmg who ,A Nsue a Permit 1 R ire y <br /> "MI,"n "'t all pahlldy them may Ee a, ult of Me County oT numett teNing on Nk Inrnnn".1 em GMVWln9 In thls <br /> e^Pll:edon. 1 agree W pemdt musty W ,,charg o m Mminbua g county orElnamas a other auMMad Person 0 have B y¢u pµ <br /> azcesz tp tae aY ve-deswAed pnnnlu at my mamma 4 B Ter the purpose a In6l%NM, a 5 <br /> / h +lp ➢8�`$oL�� <br /> OWNER'S SIGNATURE � 6/ y rJum <br /> > ftgZONING ADMINIS IRATORl� _. .. - '. t7TOWNSHIP PERMITS MAY BE REQUIRED2 IQI iTHIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSI14 _ 8 s L'S S <br /> C -71S- YO �?BWhNETT UNTY <br /> >lT J49 - i)[L ZONING <br />