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05/29/2008 08:59 3492166 S C ZONING PAGE 01 <br /> � � e <br /> lurnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> ' I _ <br /> IWNER p" TELEPHONE <br /> r�[i/AN r �o2ot�A d�5oti <br /> 1AILING ADDRESS ' 3g Z 3��� Srt A.7iEf_ �1 N s�v12 <br /> 'ROPERTY ADDRESS dg U YQENC (z(� , �/1N g LAL2 w 4 11 <br /> .EGAL DESCRIPTION SOT S M 13 P aC.3 s <br /> YPE OF pERMIr(s): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ QEGK ❑ GARAGE/ACCESSORY STRUCTURE Is <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING 0 CAMPING UNIT O i v <br /> a <br /> COMMERCIAL BUILDING O COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ S <br /> 'MUCTURE/ADDITION USE: Ae' I(1',�.t 9 <br /> (Horne/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> 3UILDINGCONTRACTOR; 132lAIJ QISoN <br /> 4 PLOT PLAN MUST BE PROVIDED ON AN 8 Ya X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> MILL BE RETURNED. <br /> XPECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) c <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. ,n <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB) AND ALL NEW M m <br /> BUILDINGSISTRUCTURES (NS), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). /i Z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B) BUILDINGS) v I <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWLOT DIMENSONS. <br /> 4. HOW THE LOCATION OF THE OF LAKE,STREAM ORELL(W)SEPTIC TANK(ST)ER AND WETLAND AEAS�AND ANDDRAINFIELD (D)I AND ALL DISTANCES 0 <br /> S. <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF 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 g <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. 1 la <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN .� <br /> NEEDED. <br /> n. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. S Z <br /> 2, REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. q <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 /> SMACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGEISTORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. F <br /> 6. <br /> 7. R A <br /> I declare that this application(Inducting any accompanying schedule)has Kean examined by me and to the hest of my B o ,°Z , �, w <br /> fmowtedge and belief K is true,rAtfett and complete. I acknowledge that 1 em responsible for the detail and accuracy o7 alt IL <br /> information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this a • pYQ <br /> information I am providing will be railed upon by the County of Burnett Wisconsin In determining whether to Issue a perrML I In M F k,� I <br /> further accept all liability that may be a result of the County of Sumett relying on this Information t am providing In this & 8 - : : I <br /> application. I agree to PermIt county ufmclais ch�a/r/g/geeddd with administrating county ordinances or other authorized person to have 6 �? 0q . <br /> 2;. ,� f <br /> scam m the above-described Ices at an�— —time for the purpose of Inspection. <br /> IM at <br /> OWNER'S SIGNATURE_ Y, V - a S R cr >S <br /> (deet) <br /> 8 <br /> IM <br /> ZONING ADMINISTRATOR 43vi <br /> r� <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE Ute-K3 v U o <br /> N S O g 0 0 <br />