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Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator z <br /> APPLICATION FOR LAND USE PERMITS . <br /> a <br /> N N <br /> N <br /> 5 a C <br /> OWNER ^ n 4" TELEPHONE a <br /> 1�; <br /> 5 <br /> MAILING ADDRESS <br /> 5439 k�i h rids TA Ei Ko Fl rn m/V—�CLt(of o <br /> PROPERTY ADDRESS <br /> E�ZL� �3ollnson L ..o � l.Gnldn 'rdL1ri� L+' w (,�L � 1 <br /> LEGAL DESCRIPTION <br /> _4o1r3-9 ILo9/s—i:u SWI-ru0 /RL iW Ar-rts a-Ito n-t'L—o e-t�y cer 3 CsM V <br /> TYPE OF PERMIT(S): <br /> DWELLING/BUILDING 13GARAGE/ACCESSORY STRUCTURE❑ ADDITION ❑ STAIRS E] tj o '5- S <br /> FILLING/GRADING ❑ CAMPING UNNIIT O BUNKHOUSE❑ 59.692(1V)GAZEBO ❑ DECKA C'r may\ vv h <br /> STRUCTURE/ADDITION USE: —t—cvvsrr <br /> 0 <br /> (Home/Cabin;Commercial Business; Bedroom; Deck;etc.) c <br /> BUILDING CONTRACTOR: e5 1vN,E�e' I J <br /> A WILL 8E RETURNED.PLOT PLAN MUST BE PROVIDED ON AN 8 Va X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS Yy <br /> � IW <br /> x I}JJ <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 5 c' <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> rM <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW C G <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, 5. <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) i r) <br /> TO CENTERLINE OF ROAD,(C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM)OF LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES x o <br /> TO BUILDINGS,ROADS, LAKE, LOT LINES. , \ <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. n -Qc <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 R 1 <br /> NEEDED. c <br /> 8 4:- <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: .e <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. 5' D <br /> n Q <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 'z 1 <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. O <br /> NOT TO BE USED FOR HUMAN HABITATION. d <br /> 6. <br /> 7. n A a <br /> 3q .§ _ . <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my knowledge <br /> and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all information " c <br /> contained in this application(including an accompanying ) recognize <br /> PP ( g y panyi schedule and I further declare that I niu that this information I v <br /> am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit I further accept all c s+8 <br /> liability that may be a result of the County of Burnett relying on this information I am providing in this application. I agree to permit U o <br /> county officials charged with administrating county ordinances or other authorized person to have access to the above-described 5 <br /> premises at any reasonable ti for the purpose of inspection. <br /> o ►] <br /> SIGN HERE o m o N 6 z <br /> (signature <br /> �,of�owner uild ng centr r) 1 (date) g c <br /> ZONING ADMINISTRATOR �I , 1 n I <br /> TOWNSHIP PERMITS MAY BE <br /> ✓m� � � ��—�e� ma( REQUIRED <br /> THIS PERMIT SHALk EXPIRE ONE YEARMOZOUNTY <br /> FRODAT 8 -ovb <br /> UN o <br /> � <br />