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Nov 08 11 03: 19p P• 1 <br /> Burnett County 7410 County Road K, No.102, Siren,WI 54872 Office of Zoning Administrator w i` <br /> APPLICATION FOR LAND USE PERMITS <br /> OaR1ER //t L ' TELEPHONE _3`i3 <br /> MAILING ADDRESS e7G S � IDt10.eC Q . <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION �O� u 4n. ! LF•L/I.' d�Ft(zA. lll� IS E <br /> T- See. aV 7�yoA/kMGrJ <br /> TYPE OF PERMITS): SINGLE-FAMILY DWELLING�' ADDITION O DECK 0 GARAGE/ACCESSORY STRUCTURE 0 g <br /> BUNKHOUSE 0 59.692(1V)GAZESO 0 STAIRS O FILLING/GRADING 0 CAMPING UNIT 0 <br /> i <br /> COMMERCIAL BUILDING Cl COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE 0 S <br /> STRUCTURE/A0017ION USE: "P_ — c <br /> (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> BUILDING CONTRACTOR: _ 5 eis.. r <br /> 0 N <br /> 3 <br /> A PLOT PLAN MUST BE PROVIDED ON AN B r6 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PIANS <br /> WILL BE RETURNED. 0 _ <br /> J <br /> DIRECTIONS FOR PLOT PIAN DRAWING: (AR1AL OR TOP VIEW) n <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. !. <br /> Z. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(ES)AND ALL NEW in �y <br /> BUILDTNGS!STRUCTURES(NS),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). N c <br /> J. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(5)TO ALL LOT LINES,(B)BUILDING(S) _g <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK w <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS, o <br /> SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(OF),AND ALL DISTANCES c <br /> TO BUILDINGS,ROADS,LAKE,LOT LINES. R w <br /> S. INDICATE 1F A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO Be GRADED OR FILLED. <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. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY Be DONE WHEN <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. n <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. & p <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED, <br /> 4. NO STRUCTURES,INCLUDING RETAINING WADS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SET&NCK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. E <br /> 6. <br /> .... pp nngo>�,v <br /> 33 <br /> I declare that the aPPllcaeon(Including any acro anying schedule)has been examined by me and to the best9 my ?.�a 3 A S S <br /> NnovAeAge and belltl It H[rue,correct and co Tete. I asdmoMeog<Nat I am mWonfInble for the detail and acor9ey Pf all a;+E E,'. ^1 <br /> Informouen Oenm;ned In this aPPuration(badch <br /> ading any a®mpim/ng sedule)and I further declare that, N <br /> L recognize at this n p m + <br /> Information 1 am pending velli be relled upon b Ine County M eumett WISCPmm In determining whethar to issue a pefmk:.I ° =R 4: <br /> further accept ag liability that may be a resAWt the C of 8umatt rq on this infom eJon I am proNding In this <br /> application. I agree to pernR county oN1046 charged Send ordinances or other authorheel person to have` o, $ <br /> access to the above-described prembees brany ree a timef of Inspection. _ c hRT K Tj ? <br /> u <br /> OWNER'S SIGNATURE /VQ �1 nH a ?n „a 0 <br /> (date) u$ `-„3 <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE N«&>;In S <br />