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V <br /> el5-3119f- 913,? - <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator = �m <br /> APPLICATION FOR LAND USE PERMITS " 1 <br /> � 171s- X 3 8- 8817 <br /> OWNER TELEPHONE <br /> MAILING ADDRESS I I sc ec kOdI )'1()US C'_ V. F + ^ 1 '5L/93 <br /> s <br /> t r1n L u.T�� p <br /> PROPERTY ADDRESS 1 I Li SC�00I Y 6 MS-k_ f CC J 'L <br /> LEGAL DESCRIPTION / I <br /> PSI sr y�/ sFYL s�� ; 73'7 I � <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLINGY, ADDITION❑ DECK❑ GARAGE/ACCESSORY STRUCTURE❑ <br /> BUNKHOUSE❑ 59.692(1V)GAZEBO❑ STAIRS O FILLING/GRADING❑ CAMPING UNIT❑ J <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE❑ z <br /> ' <br /> STRUCTUREJADDITION USE: Q(Homhmtiercm; Deck;etc.) — <br /> c VyOWIn' <br /> BUILDING CONTRACTOR: W <br /> A <br /> A PLOT PUN MUST BE PROVIDED ON AN 8 V.X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. _ <br /> DIRECTIONS FOR PLOT PUN DRAWING: (ARIAL OR TOP VIEW) <br /> I. ALL FOR <br /> DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGSJSTRUCTURES(EB)AND ALL NEW q a V I <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, R <br /> AND INDICATE NORTH(N). z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) T j� <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK w <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETTAND AREAS,AND(D)LOT DIMENSIONS. S� <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(SI)AND DRAINFIELD(DF),AND ALL DISTANCES 6.1 _? <br /> TO BUILDINGS,ROADS, TAKE, LOT LINES. <br /> S. INDICATE IF A WALKOUT BASEMENT 15 PUNNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC,THE C, s <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. ,4 73 L^�I <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. U 11YWW��11 VV YfV---ECC'YYL <br /> THIS PERMIT is SUBJECT TO ALL CONDITIONS LISTED BELOW: GG(( <br /> L DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 'ry <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 9. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. C7 <br /> S. ACCESSORY STRUCTUREIGARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. E <br /> 6. <br /> 7. <br /> „ F > nr, r, 0 > c � <br /> 373 ? _ <br /> Itledare that <br /> ndbelipplice ion true,correct: <br /> and complete. <br /> ying cknowlede)M1age t been enminetlby meand r thedtathe ailand ac ofmy -y <br /> inowledge rmatiocompiief itis true, wayaccompayinscheam ule)aronzible nd I rterNeare detailand <br /> Ireccumcy of all <br /> information c am provned iding <br /> will bereliion edu(includingonthe coucro of Buret Wisconsin <br /> in <br /> whether <br /> etert issue <br /> Mat this _ c <br /> information 1 am pm ility will a be atl upon by the County of Burnett relying <br /> on in information <br /> wbemer ei issue a Permit 1 S further accept all liability Mat me be me counts pt ry y ryes Burnett relyingnn thissinances oroIer ndearized in this _ m yyiv' <br /> haws <br /> I agree toto <br /> e-des county officials Nargetl with administrating county ordinances or other autborize0 person to _ <br /> M1ave accersro Ne above-tlesoribetlP ises at any reasonable time for the purpose of inspection. _ <br /> OWNER'S SIGNATURE <br /> (data) y > '< � n & r — <br /> ZONING ADMINISTRATOR �� ' '_� <br /> �' rt <br /> WNSHIP PERMITS MAY BE REQUIRED - <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUMI Err(f'QIfNTY <br /> ZONING -_ - <br />