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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator c <br /> APPLICATION FOR LAND USE PERMITS <br /> CtZ (/2- 7/AC--77�8 0 <br /> OWNER A/ln �/ p TELEPHONE wK5�� ZSY' -30S <br /> a Cs <br /> MAILING ADDRESS MRK, �J c•/`I&U I C AF 'Crd-f4 <br /> PROPERTY ADDRESS 7 y�i o C–ry � F F � �� / V f j c c s-lly <br /> LEGAL DESCRIPTION 5Em4-76CTGuN.SH"I7" 'T��C R�Jf c�iE I7 LCJ�! <� IS(�FV�yK�P <br /> L c,Aig 7 �i�E ITh r 5 <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION STAIRS ❑ <br /> TYPE OF PERMIT(S): Cn,GU E,GMF�TT LCT- <br /> FILLING/GRADING ❑ CAMPING UNIT OBLUNKHO�U/SE ❑ 59.692(1V)GAZEBO ❑ DECK^ <br /> STRUCTURE/ADDITION USE: /� ',VC/7 QGIQfy7Q Ig Second 1e✓?I abo ICP o 0 <br /> (Home/Cabin; Commercial Business; m; Deck; etc.) QJ <br /> BUILDING CONTRACTOR: G�(fCitA�G CC CMSTRu C-T7C/U I— <br /> n <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8%X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. /r �I A < <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> - 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. F. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW rCn <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). <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 I <br /> (OHWM)OF LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. c N 2 <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. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. C7 c <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER,BUILDER,CONTRACTOR, ETC.,THE A. <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. y <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN 1 <br /> NEEDED. <br /> THIS PERMIT IS SUB)ECT TO ALL CONDITIONS LISTED BELOW: ) <br /> z <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. Q <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. n <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. I <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. ^, nm c b <br /> C'17. <br /> '1 <br /> I declare that this appilcstion(ndudmg any accompanying sdwduk)has been e:mmined by me and to the best of my wwwwdoe E. 2 m o <br /> and belief RIs true,correct and complete. M <br /> • I admowledge at I am responsible for MMorm <br /> e detail and accuracy of all katlon ^ o g= sy <br /> contained In this application(Including any accompanying sclwdule)and I hasher dedere Mat T recopmu Mat this information I in b <br /> am providing will be relied upon by the County of Burnet Wlsmnsin M determining whedw to Issue a Permit. I further accept all N 8 N N S 00 <br /> liability Met may be a result of the Coady of 9umett relying on els Information I am providing M this application. I agree to ° n <br /> o i <br /> county afBdals charged with administrating county ordinances or oMer sulhdpawnized pawn to <br /> have access to[fie above- <br /> described t7 <br /> � - ises at any reasonable t)n a9urpose of Inspection. ,.- - o _ Y <br /> JJ `�g <br /> SIGN HERE g a S <br /> (elpnature <br /> or or buiklkq contractor) i _(data) <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERMITS MAY BE REQUIRED BU ''%'ET 00,11IetT` <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANMNING N 8 <br /> (arm.; 4 le ✓vialkd 7lP tiOW FlVil2er 10-P3 -06 <br />