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z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> a <br /> APPLICATION FOR LAND USE PERMITS y N <br /> OWNER <br /> eVCN £ 1 1J/ ^ lJcr W1gw�TELEPHONE <br /> JAN T(n �'T v `F/ <br /> MAILING ADDRESS � V <br /> 0L(36 P�i�� Ed RaJ 6uteWvr wf SY893 (11 <br /> i <br /> PROPERTY ADDRESS <br /> Kc5 Ld"T5 L t ` <br /> LEGAL DESCRIPTION s- <br /> �f � <br /> -z-Yo-n-.3t.-5 �S-s��oi2000 <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING 11ADDITION ❑ DECK ❑ GARAGE/ACCESSORY STRUCTURE <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT ❑ <br /> COMMERCIAL BUILDING��I❑ ��nnC��O��MMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ o <br /> l <br /> STRUCTURE/ADDITION USE: f2cPI&ce_ exa6w-S Qet ilii , Lkt(� S11 z <br /> (Home/Cabin; Commercial Bu iness; Bedroo ; Deck; etc.) ° <br /> BUILDING CONTRACTOR: Balsall., Lalts Pnc,—(AkvN 2r,Ac. 'q!L cr- &2. n <br /> &fJ'SU4$4 Laic 4L)i Sgb10 - '7/S- gt3SS- 31-2 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 rh X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C 0 N <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) m =' <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, a R <br /> AND INDICATE NORTH (N). N Z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(5) ,°y ° <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK „4J wS <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. UU <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD (DF), AND ALL DISTANCES SLS <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. N <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. b <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC., THE y <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. �I <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN l <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> CDF <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. z <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. J z <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. d <br /> 6 NQT TOBE USELR,jHF.JQ <br /> � N BIIO <br /> 7. <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my <br /> knowledge and belief tt Is true,correct and cam kte. I acknowledge that I am <br /> 9 p g responsible for the detail and accuracy of all <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I reoogntze that this <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin In accept whether to Issue a permit.. I <br /> further at all liability that may be a resultof the County of Burnett relying on this Information I am providing In this sB ;„ = 6, ,;, y <br /> application. I agree to Permtt county officials charged with administrating county ordinances or other authorbea person to have �,a o 8 8 r. <br /> arms to the above-described p Try k e the purpose of Inspection. B „ 8 a, <br /> l f20 A e y88o88y <br /> OWNER'S SIGNATURE � <br /> 0 <br /> ZONING ADMINISTRATOR ''� a ° ° 5 8 n l� <br /> MAY 22 � _ a �' <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF 1jT COUNTY <br /> 800a8 <br /> ZONING <br />