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Burnett County 7410 County Road K, No. 102, Siren, W1 54672 Office of Zoning Administrator _ <br /> APPLICATION FOR LAND USE PERMITS <br /> 'is-ss�-089D <br /> OWNER/ Aar <br /> 0 Lam`• _ <br /> 27 <br /> MAILING ADDRESS���Pz.� 5��/CiUJ�YI.Aar _ n <br /> n / N <br /> PROPERTY ADDRESS � Q Pa✓,� �-{- �� \ d <br /> ESCRIPT <br /> LEGAL lstKeS'.911� J� ✓ 07" <br /> i/otv� <br /> I NJe/Isensn <br /> er_ csm_✓_�o��o�_Li�/o� o <br /> TYPE OF PERMITS): SINGLE-FAMILY DWELLING ❑ ADDITION O DECK ❑ GARAGE/ACCES ORV STRUCTURE <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO D STAIRS O FILLING/GRADING I7 CAMPING UNIT U <br /> COMMERCIAL BUILDING <br /> }❑ COMMERCIAL ADD/ITIO/NJ❑ COMMERCIAL ACCESSORY STRUCTURE 0� <br /> STRUCTURE/ADDITION USE '/- <br /> ("ome/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: _,0aj�Y1/ <br /> A PLOT PLAN MUST BE PROV10EDED ON AN B 4a X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS m c_' <br /> WILL BE RETURNED. zi <br /> = NNNJJJ . <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <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 <br /> BUILDINGS/STRUCTURES INS), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, v <br /> AND INDICATE NORTH (N). v ` z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) Ci <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENTS)TO THE ORDINARY HIGH WATER MARK CN/ <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND(D) LOT DIMENSIONS. o <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD(DF), AND ALL DISTANCES 4 1 <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED, pu <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. 1 1 <br /> NOTE; BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> X11 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 50 DAYS OF PERMIT. u _ <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. Im <br /> A. NO STRUCT!mES, INCLUDING RETAINING WALLS, ETC, ALI OWED WrTHIN THE REQUIRED WATER -- <br /> SETBACK AREA. p <br /> 5. ACCES50RY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. ` <br /> cZ <br /> 1332- <br /> 1 knowlareedge <br /> a an this of it is iontrue, <br /> (inc,correct any accompanying piste. Iac schedunowledle)t as I am examined of r t and to the tact or cy L <br /> knowledge and Geller it is true,cortett and mmplg an 1 acknowledge that I am responsible for Me detail and accuracy or all p <br /> InroQn.contained In this applicationarelied(inclupon by t any accompanying t Wisconsin <br /> 1 Central <br /> declare her 1 recognize that fills - > > c <br /> fuis <br /> rther accept <br /> 1 am providing will a relied upon of Me County of Barnett Wisconsin In tlef onpano wM1 m pr to Issue a permit 1 - - <br /> furtfieraccept all liability that maybe officials result Ch rg Countypt Bumett relyingty IMSiances ro1raproviding In MIs <br /> application. 1 agree to depermit county atn creased ble time <br /> for Meadministrating county ordinances or other authorized person M have - <br /> access M Me above-des[rlpetl p mises at any reasonable time for Me purpose of Inspettion. _ <br /> OWNER'S SIGNATUR '(dacde) <br /> ZONING ADMINISTRATOR WNSHIP <br /> - <br /> PERMITS MAY BE REQUIRED O = <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE - <br />