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� Z <br /> c <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS - <br /> OWNER Rr,o�Gl SWeCt—/- TELEPHONE <br /> MAILING ADDRESS ` I <br /> I/13 <br /> PROPERTY ADDRESS / q 2 / r i I or,E_ _ <br /> O ✓ I L n <br /> LEGAL DESCRIPTION <br /> � ef- Acro <br /> 13 �=rl� es al �yl-l(, <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING O ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE , <br /> BUNKHOUSE 0 59.692(IV)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 A <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURES 0 <br /> STRUCTURF,IADDITION USE: C-AY(L�9 !'(LUGH Od'ct50 � JIOry- <br /> C (Home/Cabin;Commerci Business; Bedroom; Deck;etc.) <br /> BUILDING CONTRACTOR: Se I 1 s <br /> r � <br /> z < � <br /> AP LOT PIAN MUST BE PROVIDED ON AN 8'/z XII SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> T <br /> WILL BE RETURNED. <br /> r <br /> DIRECTIONS FOR PLOT PUN DRAWING: (ARIAL OR TOP VIEW) _ <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. .r —_ — <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW 3 c <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). O o Z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)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 WETLAND AREAS,AND(D)LOT DIMENSIONS. . (U <br /> 9. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD OF),AND ALL DISTANCES <br /> TO BUILDINGS,ROADS, LAKE, LOT LINES. T - <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PUNNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PUNS ARE SUBMITTED BY AN ARCHITECT, ENGINEER,BUILDER,CONTRACTOR, ETC.,THE <br /> PUNS MUST BE SIGNED AND DATED BY THE OWNER. :f ` T - LI <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSTTE VERIFICATION MY BE DONE WHEN I <br /> NEEDED. (f� I Iy^( 0 O <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. G <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 QQj J�KU <br /> BACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. V <br /> NOT TO BE USED FOR HUMAN HABITATION. S <br /> 6. <br /> T > r, <br /> > n 3 y 3 n <br /> R n 8 3 3 3 c, rt p <br /> =declare that His a application(including r c 6 - .�.. <br /> pp (inc andc complete. <br /> I ackscbedule,Met been examined le r and toroedeal and cCrin 3 ,2 a <br /> knowledge and Geneti in this application <br /> and complete. Iacknewleg any yingsct[am)and I further ecMe arethtIrccuraq chat this c _ - - - <br /> infomlation I am contained ban <br /> uponby Me <br /> of Burnet Wisconsin in <br /> whetha[[recoe a urmit. I <br /> furthe accept <br /> I am providing will a relied upon result of he county unty f Burnett Wisconsin in determining whether pr to issue a permit I <br /> further accept allee to Permit maybeaicialschared with <br /> Burnettingcuntorelying on rdinances information uthoriedng inrso _ m �^u7 <br /> applira[ion. o Meetece-desribed officials wi[M1 aeministrfor Me ouroatfincecti other authorized personte v ` oy8or <br /> M1aveaocess tomeahove-described misesa[anY red nahle time for Me purpose of inspection. = 3-13 <br /> ,'�, <br /> OWNER'S SIGNATURE K <br /> (date) a2 <br /> 'L <br /> ZONING ADMINISTRATOR <br /> - <br /> TOWNSHIP PERMITS MAY BE REQUIRED _ <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />