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Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator _ <br /> APPLICATION FOR LAND USE PERMITS <br /> Ceti 61) - 396 <br /> OWNER Tj�M TELEPHONE <br /> I llu �r�_C-� 1cGjhltE 952,-9 - ?D32_1 ((J) ��I5,,,���T� <br /> MAILING ADDRESSNl1111 s <br /> i7�i71br�``fl�_L.V-pr 17iZtVG 9,V <br /> LEGAL <br /> nl S53`14� Ilyµi1 � <br /> PROPERTY ADDRESS 1A701 t4\tNii: (tN IW� yrps'BLI�I <br /> lu L <br /> LEGAL DESCRIPTIONC'LL'h �e - 3"l , Tu/ N <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ADDITION ❑ DECK I❑ /GARAGE/AC�C\ESSORY`SSTTRUCTUREiA <br /> BUNKHOUSE 17 59.692(1V)GAZEBO❑ STAIRS ❑ FILLING/GRADING O CAMPING UNIT O � <br /> R, <br /> i v lElvj. <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE❑ <br /> 2 N`z <br /> STRl1CNRE/ADDCRON USE: 46 <br /> (2�/S WSJ 36, S/FJa <br /> (Home/ in; Commercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: S e v <br /> z <br /> p ° _ <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'/z%11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. r 3 <br /> DIRECTION5 FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> L ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. u <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW J 3 <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, <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 WATERMARK "; _ A[ <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 <br /> TO BUILDINGS, ROADS, LAKE,LOT LINES. <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. � 0, <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE s <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. F <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEN t -i <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: Q — IIJI�1 <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. d �' <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 d <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. U <br /> NOT TO BE USED FOR HUMAN HABITATION, <br /> 6. f /00 ��' e <br /> T. jp > nnno > ' T <br /> I declare <br /> Inward that thisapplicationit istrue,colutlingnd any accompanying I ck owlede)M1art been exaresponsible <br /> M1Y r and bthe bear ac or my 3 ? ] 3 a 0 <br /> knowledge and Belief it is his application correct antl complete. I acknowledge sc a til responsible for ec are th antl acpumcy of all — - <br /> information combineddi Miwillbe relied! <br /> the County ofg any anying Buret Wisconsin <br /> in lfurther <br /> erminng declare trecognize that Mis <br /> information I am providing will be rthe a upon of Me County f Burrett Wisconsin In determining whether pr to Issue a permit. I a <br /> further accept all liability Mat my be a result of Me County of Burnett r lying on this inbmution I am providing in Mis in <br /> application. I agree M Permit count] Mcials charged with administra g county ordinances or other authorized person to _ 8 = - <br /> have access to the above-describe rises at a real ,ntaB time f he purpose of inspection. ^ d > <br /> OWNER'S SIGNATURE �✓ 13 3 <br /> 1 n <br /> (date) o :'7 <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE ? <br />