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Burnett County 7410 County Road K,No. 102, Sten,WI 54872 OMm of Zoning Administrator g I <br /> APPLICATION FOR LAND USE PERMITS G <br /> OWNER�o.� � Gre.In `�"eVlTei lFltY TELEPHONE gsd_d33-tb�s3 <br /> MAILING ADDRESS ! ( y11� II :I ,�� kth( (� . CQ�4�p. NN SC' �1 0 I v\ <br /> PROPERTY ADDRESS 'A f OTl I ll ReC�s�typa �� l�A'��J`� � SO <br /> rJ�J3!do �= n <br /> LEGAL DESCRIPTION oZ3 k O(J-Lc�unc,. S -Crr S l <br /> T M OF PE MMS): SINGLE-FAMILY DWELLING 0 ADDITION O DECK O GARAGE/ACCESSORY STRUCPJ <br /> BUNKHOUSE O S9.692(IV)GAZE80 O STAIRS O FILLINWGRADING 0 CAMPING UNIT O <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE O 5' <br /> STRUCTURE/ADDITION USE: o <br /> (Home/Cabin; BeSIttPSf; Bedroom; Deck;etc.) � I W z �. <br /> BUILDING CONTRACTOR: <br /> A PLOT PLAN MUST BE PROVIDED ON AN 6 lh X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLAT PLANS to o— <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARTAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. G <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BIIILDINCWSTRUCTURES(EB)AND ALL NEW N v C� <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, �1 . <br /> AND INDICATE NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDINGS)TO ALL LOT LINES,(B)BUILDINGS) Cly <br /> TO CENTEIU3NE 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. c' O <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIEID(DF),AND ALL DISTANCES <br /> To BUILDINGS,ROADS,LAKE,LOT LIES. !i N O' <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 9 `� <br /> PIANS MUST BE SIGNED AND DATED BY THE OWNER. 3 C� <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. - ~ <br /> THIS PERMIT 15 SUR)ECT TO ALL CONDITIONS LISTED BELOW: r 4— <br /> I. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n z 1 <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. >o S. <br /> 3. NO GRADING OR SHOREIAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER n O <br /> SETBACK AREA. `1.J <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> I declare Vast#0 application(kckv**wW aooaepr"M adnduk)n e>raard ms uW m lir Leet of my o.Z �fig <br /> Imorrladge aW b@W It Y tor,caner and compM[s. I I em ratpon ble the dettl aW araaacy of as ' m E E e t <br /> 4Yomsetlon aonbMd h lids appgaon(VdudMg any sdedde)and I Bedew that I scan tot dds E. <br /> INbrrrnalon I rn providing will be road Wms LM ON Cauigr of W�Yitm.pts In wnetls o to Issue a pamL I _ > <br /> R~xY.ept N aabbty Ow may be a wads of the rauty d relyap on" prmrtltnp In Vds g�5 <br /> application. I apes to per —county omdab tAn'pad Uall DOVdY authorized parson to have i e Q > <br /> woofs to Are abew-MeV/d pwanpas at arty reaonabta floe of a 6$s w rO <br /> OWNERS SIGNA <br /> O» N9z <br /> dim �lao i2r) g � +1 <br /> ZONING ADMINISTRATOR t9 <br /> E t4 <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE t pN N <br /> �m�l-�r-[e�-�rPi�iced �p f�'l �dia � P�l-er�en 95-6 <br />