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CN a5 $ <br /> 6 3 <br /> Burnett County 7410 County Road N, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS 9 pUi <br /> OWNER TELEPHONE r <br /> ,'1 Ovr�pS `'l LlAlfc�� T� i(ea t., <br /> MAILING ADDRESS v <br /> x$824 i3oF,nil2 CCn., PcykL,ratirC+lisqT)-0137.r, mn�� q <br /> PROPERTY ADDRESS a5C1 (O� LIC K¢EL L +tuE Dpn(?�uRy g 1 <br /> LEGAL DESCRIPTION <br /> TYPE OF POINIT(S): SINGLE-FAMILY DWELLING ADDITION DECK GARAGE/ACCESSORY <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 v <br /> COMMERCIAL BUILDING 00 COMMERCIAL ADDITION 0, ICOMMERCIAL ACCESSORY STRUCTURE❑ <br /> STRUCTURE/ADDITION USE: cza <br /> -T(Ho"WCabin;Commercial Btincs:Bedroom:Deck;etc.) <br /> BUILDING CONTRACTOR: <br /> 3 <br /> 0 a <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Ver X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS .Dm <br /> WILL BE RETURNED. n .� <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIALORTOPVIEW) C <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. w <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EMSTING BUILDWS/STRLCMRES(EB)AND ALL NEW Q e <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, e3 <br /> AND INDICATE NORTH(N). c <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDINGS)TO ALL LOT LINES,(B)BUILDING(S) <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. A) <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES A. N <br /> TO BUILDINGS,ROADS,LAID,LOT LINES. 41 <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. /1 (� } <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR ETC,THE I <br /> PLANS MUST BE SIGNED AND DATED BY THE1 OWNER. 70 <br /> 1 ) <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WI �) <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: V'1 <br /> is <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. B <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 W <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. E <br /> 6. <br /> 2 n nni0 � <br /> 3 A <br /> Iare that Misapplication corretandcding any complete. <br /> I acksciviede)hat been examined by r the dta Mebed ofmy 3 p,2 <br /> knowledge and belief Itis true,correct and wmDle[e. lacknowletlge Matlam responsible for Me detail and aauraq of all <br /> information contained in this application(including any accompanying schedule)and l further declare that l recognize Mathis = _-- > — u <br /> information 1 am providing will be relied upon by the county of Burnett Wisconsin in determining whether M Issue a permit. I <br /> further accept all liability that may be a result of Me county of Burnett relying on this information 1 am providing in this m'._ = M u S <br /> application. 1 agree to Permit county officials charged with administrating county ordinances or other authorized person to i rary�,5 $SY <br /> have access to the above premises at any reasonable Ume for Me purpose of inspection, cell nDN$� N —n <br /> OWNER'S SIGNATURE '� 3 n is S. S EY <br /> (date)IQ <br /> D g H D�2 <br /> ZONING ADMINISTRATOR } . R <br /> q � ^ 'E <br /> K g m C1 tai <br /> TOSties <br /> PERMITS MAY BE REQUIRED <br /> TY <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF Is91pWINETT COUN40 <br /> r1o')C dir Lvkdc 06<- ZONING a <br /> trot/✓+^'� ek.cf oK u���e�8 <br />