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L <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS € <br /> OWNER TELEPHONICL� c� <br /> S�. �LS,� V3 <br /> I rr <br /> MAILING ADDRESS ` <br /> PROPERTY ADDRESS 31 C 3 C A v, c, <br /> LEGAL DESCRIPTION Lok 'a C S (" V 5 <br /> TYPE OF PERMIT(S): SINGLE FAMILY DWELLING ❑ ADDITION ❑ DECK IT GARAGE/ACCESSORY STRUCTURE z <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS 17 FILLING/GRADING ❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE❑ <br /> STRUCTll RE/ADDITION USE: ( �e/Cab� `-- <br /> Z <br /> Corhmercial Business; Bedroom; Deck; etc.) i 'n� <br /> BUILDING CONTRACTOR: d v-3 r i� s V-.I <br /> Et a Y <br /> Et < r <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8`/z X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLAN$ O p <br /> WILL BE RETURNED. " <br /> m _ <br /> DIRECTION$FOR PLOT PLAN DRAWING: (A TOP VIEW) _ = <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCESCES TOO BE SHOWN DRAWN SCALE = <br /> - i <br /> 2 SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/ <br /> STRUCTURERE S(EB)AND ALL NEW Q <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH to). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDINGS) Op 2 ('t 1 Q <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK VVV yI c`\ <br /> (OHWM)OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. zt <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES - l <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. r <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 SIS <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. I) ( (K <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. r I' I <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: _ +V=- < I_ <br /> 1, DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT, 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 WITHIN THE REQUIRED WATER ._.�,. <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION, <br /> 6. <br /> ` z <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my <br /> knowledge and belief it is true,correct and complete. I acknowledge Mat I am responsible for the detail and accuracy of all <br /> information contained in this application(including any accompanying schedule)and I further declare that I recognize that this = - _ <br /> information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I — <br /> further accept all liability that may be a result of the County of Burned relying on this information I am providing in this _ <br /> application. I agree to permit county officials charged with administreim,county ordinances or other authorized person to — <br /> haveaccesstotheabove-des bedpremisesatanyreasonab(letim�e Jfq�rte purposeofins7ctio r. ? (� <br /> OWNER'S SIGNATURE ` ��N^ C—/ ru p <br /> (date) 17 > <br /> ZONING ADMINISTRATOR <br /> JUL 212 2013 - <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUA� <br /> C�HNM COUNT _ <br /> VZONING __ _ <br />