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C A Z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g <br /> APPLICATION FOR LAND USE PERMITSu3 <br /> OWNER /I v� �r1 TELEPHONE <br /> G (2 - 3 �y 3715- <br /> (J� h f° O <br /> MAILING ADDRESS Zen"�[� Cil✓c riS/ h . <br /> PROPERTY ADDRESS a <br /> 1 ( hos �; L'yz )PU u <br /> LEGAL DESCRIPTION ,f�C l Cj0✓ L_e(r 2 2 Z -3-7- �3 +-ra 3`t -I Z.Z -c)�-6� R <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ADDITION I7 DECK ❑ GARAGE/ACCESSORY STRUCTURE ❑ w <br /> 6 � <br /> BUNKHOUSE ❑ 59.692(IV)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT 17 r <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE 0 <br /> 0 <br /> STRUCTURE/ADDITION USE: Z <br /> (Hom Cabin; Commercial Business; Bedroom; Deck; etc.) ° L <br /> BUILDING CONTRACTOR: be lCl^c, b4c- 1D* 'n C. n <br /> f.�<kr e� �,�1� �kl(u., r� psi Z�t � <br /> A PLOT PLAN M BE PROVIDED ON AN B J4 X11 SHEET F PAPER. INCOM OR ILLEGIBLE PLOT PLANS a <br /> WILL BE RETURNED. .�.� <br /> M <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C a <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW '0 �°- <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, v <br /> AND INDICATE NORTH(N). c <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) y <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK a5" <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D) LOT DIMENSIONS. p <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES 9_ <br /> TO BUILDINGS, ROADS,LAKE,LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. n l y 1 <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. n\ D)NOTE: BUILDINWSTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN ...i ` n <br /> NEEDED. 114 z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: r J <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. Z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. m \ <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 <br /> SETBACK AREA. CNI)flD` <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7• z n o 0 o O p b <br /> K n g 3 3 mg 6 !=1 <br /> I declare timet dhg an <br /> this application(Incluy anaampanying schedule)has been examined by me and to the best of my 3 0 ' °00 <br /> rn r <br /> IaaMedge and bdkl R Is true,carred and complete. I admaNedpe that I am responsible far the detail and accuracy of all fi m P_F_ E : .3 <br /> Information contained in this application(including arty accompanying schedule)and I further declare that I recognize that this �0 > > T <br /> Information I am providing will be relied upon by the County of Burned Wisconsin in determining whether to Issue a permit. I o l <br /> further accept all liability that may be a result d the County of Bumett retying on this Information I am providing N this A n- ;_n N"8 g <br /> application. I agree to permit county offdals charged with adminisb a ng county ordinances or other authorized person to have <br /> aces to the above-described premises at any reasonable time far the purpose of Inspection. B 5 <br /> OWNERS SIGNATURE &-z f z a <br /> ZONING ADMINISTRATOR JI ll-) F l a r ( qqo d N R c m' t <br /> . F 6 <br /> 3 <br /> TOWNSHIP PERMITS MAY BE REQUIRED d "° <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE O« ^N <br /> I�errv)�f � le1-(e(��ruGed /gyp b(��vrerny meCrani� /a-3 D9 �us000s <br />