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z <br /> Burnett County 7410 County Road K, No. 102, Siren,VII 54872 Office of Zoning Administrator <br /> AP//P���LICATION FOR LAND USE PERMITS m <br /> OWNER TELEPHONE 7�S: 3Y9�s�6U <br /> MAILING ADDRESS / 2 l �I h l� C 1(,�� /� --f Ci?V `-J 1 I I _ <br /> PROPERTY ADDRESS 241 (7 ��7 OVA RU Odfl&x 1jJ�-(�O / C�,3 0 <br /> LEGAL ESCRIPTIO rbL _ Q <br /> . /� 2x V 2� k P .2y7, J X25 P65 y98 �/3U <br /> TYPE OF PERMTT(5): SINGLE-FAMILY DWELLING 0 ADDITION 0 DECK 0 GARAGEJACCESSORY STRUCTURES <br /> BUNKHOUSE 0 59.692(IV)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT❑ <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE 0 _ 3 <br /> Ccr f% 51oraH <br /> STRUCTURE/ADDITION USE: �Mc1 C o <br /> c� P(Home/Cabin;Commercial Business; Bedroo Deck; etc.) <br /> S 1 , <br /> BUILDING CONTRACTOR: /% ^+ <br /> z <br /> AP LOT PLAN MUST BE PROVIDED ON AN B`/x XII SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS = <br /> WILL BE RETURNED. <br /> 27 <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. ' <br /> 2. SHOW THE LOCATION AND SIZE OF ALL UISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW c> C� o <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) CO3 <br /> -' <br /> TO CENTERLINE OF ROAD,(C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM)OF LAKE,SrREAM OR RIVER AND WETIAND AREAS,AND(D)LOT DIMENSIONS. v <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES ,1 <br /> TO BUILDINGS, ROADS, LAKE,LOT LINES. (]`J <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. I W <br /> 6. IF SEPARATE PIANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR, ETC.,THE _ h (� _ <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. $>, I(� I <br /> U I <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN — VJ <br /> NEEDED. + i <br /> THIS PERMIT IS SUB]ECT TO ALL CONDITIONS LISTED BELOW: i b�UU <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. Q E <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR 5HORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. )_! <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER `�Jl <br /> SETBACK AREA. \ <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. a l <br /> NOT TO BE USED FOR HUMAN HABITATION, <br /> 6. <br /> 7. y A > > c r <br /> L5 a ' -' ' 3 <br /> (declare that this application(including any accomwnyin9 schedule)has been examined by me dna to Ne Bert _ <br /> o q B -of my = — <br /> knowledgeandbeliefitistrue,correct and complete. I acknowledge Nat l am responsible for the derail and accuracy of all = = _ _ <br /> information contained in this application(including any amompanying schedule)and l fortber declare that l recognize Mat this cg _ <br /> information l am providing will be relied upon by Me County of Burnett Wisconsin in determining whether to issue a permit l _ _ _ <br /> further accept all liability Mat may he a result of Me County of Burnett relying on this information l am providing in this _ — <br /> application. lagreetopermit my oTcialz cIarged wit administrating county ordinances oroMerautM1orize0 person to <br /> have access to the above-de rice p• I ea at any reasonable time Por to purpose of inipec['6 _ > <br /> OWNER'S SIGNATURE b <br /> (date) ,A >a <br /> ZONING ADMINISTRATOR �'Z9'-s D - = F 3 <br /> NOV L m' <br /> J tu13- 27 <br /> I <br /> TOWNSHIP PERMITS MAY BE REQUIRED T = <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSiS11 NETT COUNTY <br /> ZONING _ <br />