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N � z <br /> Office of Zoning Administrator <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 a ° <br /> APPLICATION FOR LAND USE PERMITS N Z. <br /> OWNER TELEPHONE <br /> , TELEPHONE�rnpne' <br /> MAILING <br /> OS>4 <br /> ADDRESS '9' ItIc-Lotti Ln Gn Ct CI�t re WT 5L/ 0O� � �1Q <br /> PROPERTY ADDRESS 31�a5S4ApLos l-aKe ad / <br /> LEGAL DESCRIPTION c <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ADDITION ❑ DECK ❑ GARAGE/ACCESSORY STRUCTURE ❑ m S <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT ❑ 3 C/I <br /> COMMERCIAL BUILDING ❑[COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> STRUCTURE/ADDITION USE: ke01, ,tCtVil- TU U(_VV_YY) <br /> o JC <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) �O <br /> BUILDING CONTRACTOR: n O <br /> .0 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 rk X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. <br /> a <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) m o <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. ^- <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB) AND ALL NEW m0 0 <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, Q G. i <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) <br /> TO CENTERLINE 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. p <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. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. i <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE o <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> 6 � S <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN —3 i <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. O n z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. I A <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. p <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER ln1 <br /> SETBACK AREA. lJ <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. b <br /> NOT TO BE USED FOR HUMAN HABITATION. 0 <br /> 6. O F <br /> ^ 77 DnnnC� 9p b <br /> 7. 's0 n m 3 3 3 N n f tsi <br /> no 3 no <br /> Ideclare that this application(Including any accompanying schedule)has been examined by me and to the best of my 3 0 Q = � B o� ?o'W.knowledge and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all dE. RL <br /> Information contained In this application(Including any accompanying schedule)and 1 further declare that I recognize that this .� �- a a m <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to Issue a permit. I �- ; 'p w a> <br /> further accept all liability that may be a result of he County of Burnett relying on this Information I am providing In this <br /> application. I agree to permit county ofFlcials rged with adminlstratinq county ordinances or other authorized person to have <br /> access to the above-descri remises at reasonable time for the purpose of Inspection. w n <br /> ( m rye ' 60p0 <br /> OWNER'S SIGNATU ( n � > 5. <br /> (date) - -. <br /> ZONING ADMINIST OR \ /I I ! J w���I�h ' - ` °�° N °n m <br /> ;ram <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> 1�2�rn( f -J- rn a, --a I' AA'ph 6reery � 5-� <br />