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z <br /> Burnett County 7410 County Road K,No. 102, Siren,WI 54872 Office of Zoning Administrator 3 <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER CA TELEPHONE r C <br /> � o <br /> MAILING ADDRESS rr. Sup, OO <br /> PROPERTY ADDRESS Ja 'M F C'S �"Y"a � 5 c 1 <br /> VLK <br /> LEGAL DESCRIPTION M l6 <br /> sec.35I �1Z\bw �LDAuY� Dfswrs <br /> TYPE OF MEPHITIS): SINGLE-FAMILY DWELLING MMON DECI:❑ GARAGE/ACCESSORY STRUCTURE <br /> BUNKHOUSE❑ 59.692(IV)GAZEBO O STAIRS❑ FTLLING/GRADING O CAMPING UNITO <br /> 9 <br /> COMMERCIAL BUILDING O COMMERCIAL ADDITION O COMMERCIAL ACCESSORY STRUCTURE O <br /> o L <br /> STRUCTUREJADDITON USE: (i O QJ <br /> �J n; mmerw tress; ro/oma Deck;e /} <br /> BUILDING CONTRACTOR: 1 QJ p-,Y JO G O Liv (/ m 3 pj <br /> A PLOT PLAN MUST BE PROVIDED ON AN 81 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS _ <br /> WILL BE RETURNED. <br /> n <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIA.OR TOP VIEW) C o <br /> 1. ALL REWIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. - m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW CJ 0 <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS;PORCHES AND OTHER STRUCTURES,- <br /> AND INDICATE NORTH(N). O E o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALI'lOT LINES;(B)BIRLDING(5), W <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENTS)TO THE ORDINARY HIGH WATER MARK: 91 <br /> - <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRANFIELD(DF),AND ALL DISTANCES <br /> TO BUILDINGS,ROADS,LAIC:,LOT LINES. _ <br /> S. INDICATE R A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. i o <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. ` )", <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STARED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW:. <br /> 1. DRIVEWAY MUST MEET pLIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n V' <br /> 2 REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. z <br /> 3. NO GRADING OR SHORELPER <br /> AND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY MITTED. - - 0 () 1 <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS;ETC.,ALLOWED WITHIN THE REQUIRED WATEROp <br /> SETBACK AREA <br /> S. ACCESSORY STRUCNREIGARA(;E PERMITS ALLOW FOR PRIVATE RESIDENTIAL CAMAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. £ <br /> 6. <br /> T ., Xlannnnac 'e' <br /> 25 n X <br /> I4etlare run Mb apDlk'etlm(IndWim arty aCCOmparrypp eO,eBNas e)ASeen ezamined 6Y me and Me Best x mY O m m, m,e.� �w <br /> kmwle4pe aM thief it b tru4 cwreQ and mmpkm. I admowkOpe Mx I am respemlMefw Me Betill aM amurary,ef aIM' <br /> Inlormrtbn mxaAw4ln tKNal berelied upon <br /> accvrem..,r s6e4uN) in T Nnhw4alarc Mx1bmm a i <br /> IxamuWa l am Habalt,pd be MHE upm of beC m, xBumelt WRsmnYe In Eefxm Uo wl.pry ldHuea pwmiL,l <br /> apolo on. I a06aW tlut may be.rWdb oftkerouatT of Burnett Fg .mLNH INomutlanI am Prov WIn Mu <br /> appikalbn. lawrem pmntt muxy alfklals WrgeO wiM aOmiNstraMg mun<7 or41wMeaweMmauMwNeO permnm n b <br /> lureammmMe akw p.emi$x Hme rw Me wrmaemiasoeaelMa- A <br /> OWNERS SIGNATURE a o,E 8 <br /> (Axe) = . 0,2 2. lorn <br /> a O <br /> ZONING ADMINISTRATOR C <br /> q2 <br /> TOWNSHIP PERMITS MAY BE REQUIRED AUG 9_.Oi3 - s a m <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DA7E OF I NCE <br /> BURNETTCOUNTY <br /> rnsY TONIN <br /> G <br />