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Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator y c <br /> APPLICATION FOR LAND USE PERMITS c �l <br /> SLi <br /> OWNER co,vA Id A_! /Q p7Tp TELEP�H}ONE/�r/� 7r/ / K•7, <br /> MAILING ADDRESS/Jr� O l C•Ss,(��J2r/i! C�J�;�7/�/�/!�J_ JSSI <br /> PROPERTY ADDRESS d <br /> 53,73 ,C A k e .29 OA na as r�r r,� t✓r' J <br /> LEGAL DESCRIPTION (� <br /> /Ta x�ab SEC .28 Ti to '/l lSAIJ4@ 1S Lo-r j CSM Vr2 � '7y&' <br /> SINGLE FAMILY DWELLING CI GARAGE/ACCESSORY STRUCTURE ADDITION O STAIRS❑ <br /> TYPE�PBtMTT(5): <br /> FILLING/GRADING❑ CAMPING UNIT❑ BUNKHOUSE❑ 59.692(IV)GAZEBO O DECK 0 <br /> STRUCTURE/ADDITION USE: G fP./4 G c <br /> (Home/Cain; Commercial Business; Bedroom; Deck, etc.) S <br /> BUILDING CONTRACTOR: <br /> Iw _ <br /> A PLAT PLAN MUST BE PROVIDED ON AN B'A X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C 3 <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARTA.OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. - a <br /> 2. SHOW THE•LOCATTON AND SIZE OF ALL EXISTING BUllAINGS/STRUCTURES(EB)AND ALL N--- <br /> BUILDINGS/STRUCTURES <br /> EWBUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(5)TO ALL LOT LINES,(B)BUILDING(S) <br /> TO CENTERLINE OF ROAD, (C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. � y o. <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES - 9.- <br /> TO BUILDINGS,ROADS,LAKE, LOT LINES. oo <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 6 c d <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE M, � <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> .i <br /> NOTE: BUILDINGJSTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN G� <br /> NEEDED. <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: W L <br /> z <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. 7o C> <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 0 i <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 CI` O <br /> SETBACK AREA. 1 d <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. E <br /> 6. <br /> m b <br /> 7. <br /> I declare that this application(Including any accompanying sdeduls)hes been examined by me and tone Lint of my krc~ y C . <br /> and belief R Is Inse,correct and complete. I admowNdge Bat I am raspoihWM for the dotal and accuracy of of YMmmation <br /> contained In this application(including any accompanying sdndula)and I hada r declare that I rea. . that this 10mnation I g3 <br /> am provtlbrg will be raged upon by the County of Bumed Wisconsin In determining whether to Imo a pormL I hwttw accept all <br /> Ratift Brat may be a result of the County of Burnell relying on this sformation I am providingIn doe application. I agree to ar <br /> permit aunty officiate diarged wNh administrating county ordaerices or allies authorlaad person to have acus to the above- S <br /> described premhn at any reasonable toes ror the purpose of aWaaan. to y c_ <br /> / / O <br /> owwat'sslGNATu �- =.� '<; %. � g x <br /> y <br /> ZONING ADMINISTRATOR < <br /> TOWNSHIP PERMITS MAY BE D NN a =�, <br /> THIS PERMIT SHALL EXPIRE ONE YEAR hROM DAffiA <br />