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ERA.. LL Canty 7410 County Road K, No. 102, Siren, WI 54872 Moll of Zoning Adminktratim g Ful APPLICATION FOR LAND USE PERMITS <br /> OWNER - TELEPHONE <br /> v / Q <br /> .. <br /> MAILING ADDRESS ( <br /> r V1 <br /> PROPERTY ADDRESS �— <br /> ,g9/Y/ T>(d i!a Z-s.G>i/�/ n w,a2�� �il i✓ice T g <br /> n _ <br /> LEGAL DESCRIPTION <br /> I J� 'f<o 0 G4'! a <br /> TYPE OF PHIMIT(S): SINGLE-FAMILY WN/G tTtON D/.n GARAGE/ACCESSORY STRUCTURE Y <br /> BUNKHOUSE 59.692(IV)GAZEBO STAIRS FILLING/GRADING CAMPING UNIT Q <br /> COMMERCIAL BUILDING COMMERCIAL ADDITION COMMERCIAL ACCESSORY STRUCTURE <br /> STRUCTURE/ADDITION USE: P <br /> Business; _ <br /> (tbmle/Cadn; I <br /> Business; Bedroock;m; Deetc.) C <br /> BUILDING CONTRACTOR: <br /> A PLAT PIAN MUST BE PROVIDED ON AN 8%X11 SHEET OF PAPER. ANY INCOMPLETE OR R I EGIru P PLAT PIANS Q <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) POi a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m 8 O <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW R as <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, QQ <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B) BUILDING(S) g y <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. Q <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. Q' <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 9 <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. 3 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN l� y <br /> NEEDED. <br /> THIS PERMIT IS SUB]CKT TO ALL CONDITIONS LISTED BROW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. T> Z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. A <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 /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. £ <br /> 6. <br /> 7nd <br /> sem . nnnoa� e <br /> R 33 F 3Sg�. nd <br /> 1 declare that this epplimuon(Ind What any accompanying schedule)has been examined by me and to the bast of my 3 e R <br /> knowledge and belle(K Is true,coned and complete. I aGtnowledge that I am responsible for the debil and acar of am u wE G n .d <br /> Information contained In has appllmBm(Imduding any accompanying schedule)and 1 further declare Mat 1 recognize that this E.D e to W <br /> information 1 am providing will be relied upon by Me County of Burnett W ismnsm in determining whether M mve a permL I S M R app <br /> Is <br /> further adept all liability Mat may be a result of the County of Burnett relying on this InAametion I am provWbq N tAY c w Y6 <br /> application. I agree to permit county officials W rged wiM adminNbetkp county ordinances or abler autherbed to IRM C'.Z <br /> access m the above-desmlbed prarraaaa at airy nes ioneble Bme for the purpose of8 <br /> to jt-kePscUon. S y $ A <br /> zing s <br /> OWNER'S SIGNATURE <br /> QG5 <br /> R 6w <br /> ZONING ADMINISTRATO - <br /> � � <br /> TOWN PERMITS MAYREQUIRED d <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF IST COUNTY _ w p x y.k 4 <br /> ZONING <br />