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C rt Z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54672 Office of Zoning Administrator g � <br /> APPLICATION FOR LAND USE PERMITSZ <br /> 22. <br /> OWNER fit <br /> TELEPHONE (D(L-Z-72 -5,333 MAILING ADDRESS a; If` na 1 <br /> PROPERTY ADDRESS Z9 273 / L) C 14 <br /> Ip < <br /> LEGAL DESCRIPTION `� <br /> TYPE OF PERMrr(S): SINGLE-FAMILY DWELLING ADDITION DE ❑ GARAGE/ACCESSORY STRUCTURE ❑ m <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMnERCIAL ACCESSORYSTRUCTURE ❑ c <br /> STRUCTURE/ADDITION USE: 0v� Z <br /> (HomeCabin; Commercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: <br /> n <br /> Sfeco_ c � <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS 0 <br /> WILL BE RETURNED. C 0ur <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. c <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, 3 <br /> AND INDICATE NORTH (N). t� z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) �j o <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK S2) 5" G <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 I <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. „ y <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. ry <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE T o <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. I <br /> / <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN r <br /> O IVn1 <br /> NEEDED. LIN <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> w <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED :VITHIN THE REQUIRED VJATER h <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. Q "" <br /> 6. Qyr(jIl(9 to be. Marc•( fm the. 751.# s �rJ= roe ds 4C& .b11 li J 96f,V... <br /> C4^"6y, A ; f <br /> 7. NOTIFY > <br /> 0 0 o d a ° T <br /> $ n y 8 3 3 A 4A <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my 3 0,°.? g ? w' <br /> knowledge and belief itis true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all a. m d' d w ,�, <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this f° = a a m e <br /> Information I am providing will be relied upon by the County of Bumett Wisconsin in determining whether to Issue a permit. I " a = :' > <br /> further accept all liability that may be a result of the County of Bumett relying on this information I am providing In this <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have <br /> access to the above-described premises at any reasonable time for the purpose of Inspection. m w 8 8 w <br /> ma8 > <br /> 3 KImy $ 088 <br /> OWNER'S SIGNATURE 2- 11 fD v a ` <br /> (date) a �o � LS! B <br /> � 3 <br /> ZONING ADMINI <br /> to t rt = F 6 tT. <br /> TOWNSHIP PERM MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE u N N U N U= <br /> 80008 <br />