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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator 3 0 <br /> APPLICATION FOR LAND USE PERMITS y <br /> OWNER T. Lzre "f' / hNrc Ci =NE '(((��� e W <br /> MAILING ADDRESS ' o <br /> PROPERTY ADDRESS SCa• OZ. 8'7N ILILtj SE IVci <br /> Til PRT• OW sG LYG. Co W Ce Rpt a 4- g <br /> LEGAL DESCRIPTION <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION P DECK GARAGE/ACCESSORY STRUCTURED w <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION Cl COMMERCIAL ACCESSORY STRUCTURE 0 <br /> J� <br /> / f� 3 <br /> STRUCTURE/ADDITION USE:1C'Ae/ d Pt AeA rgeLi (TI--n ph,/ Z <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc. <br /> BUILDING CONTRACTOR: �Lg- C(4 - <br /> n C n 4- <br /> 3 f7 J p 3 <br /> A PLOT PLAN MUST B PROVIDED N AN B 'h 11 HEET OF APER, ANY INCOMPLETE OR ILLEGIBLE P T PLANS 0 o <br /> WILL BE RETURNED. m - - <br /> A <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) r' <br /> m O <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. ^ <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW 0 <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, l:J -� a <br /> AND INDICATE NORTH (N). Cj <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B) BUILDINGS) o ° <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK CD, w" <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. O 3 <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD (DF), AND ALL DISTANCES 1 <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. ' " <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. i V" <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 /> l I <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. I" <br /> 9J ryj I <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. C, n <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. Z <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. I F <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER ^ <br /> SETBACK AREA. {I-� <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. d <br /> NOT 1 TO BE USED FOR HUMAN HABITATION. Xl <br /> 6' r�POfl&" To be Ar, or bebiwl, 75-Fro{ y.cK. lint CV641K)raj SV _8W"ett C. XuR1+w6 F <br /> 7. 9 o c o u n 0 "0 <br /> ry n r 3 3 c n fit <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my 3 c 0 <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all m = a ! a <br /> information contained in this application(Including any accompanying schedule)and I further declare that I recognize that mit. I this .� `:. a F <br /> ° Y <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a per <br /> further accept all liability that may be a result of the County of Burnett relying on this information I am providing In this _�y d,e,` N •p <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have 1° =�,�°� o o' o o t" <br /> access to the above-described premisee/s��at any reasonable time for the purpose of Inspection. <br /> OWNER'S SIGNATURE rl `r0° A a a <br /> (d <br /> y R = <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERM S MAY BE REQUIRED DEC 2 <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE BURNETT — <br /> � 000 <br /> ZONING <br />