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Burnett County 7410 County Road K, No. 102, Siren,WI 54872 OfRae of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS � C� <br /> 6s'/ 2sy 6si7 $ <br /> OWNER '? �' TELEPHON <br /> Art\j S ° IAL.)nl It2LSTeg-.qon( C)bjL sJ0( of 7S <br /> MAILING ADDRESS I,Isy <br /> PROPERTY ADDRESS <br /> LpT 6 UT 7rz^oe L.hl4= GOLx5 T -5`5 f 6 �- <br /> LEGAL DESCRIPTION Tower+�� 37 Al R,*, P& w <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING>Z' ADDITION E3D yK t/ GARAGE/ACCESSORY STRUCTURE ❑ <br /> BUNKHOUSE 0 59.692(1V)GAZESO 0 STAIRS❑ [Nd/GRADING❑ CAMPING UNIT 0 A <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE ❑ $ <br /> STRUCTURE/ADDITION USE: 40'b4'5 r �' 2• <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) r4x 110r R o <br /> BUILDING CONTRACTOR: U %Y T ,"I ___4o <br /> op,�,c.¢ Yfs3-92� o <br /> A PLOT PLAN MUST BE PROVIDED ON AN B%X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS Q _ <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. Cit <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW twq 'O <br /> BUILDINGS/STRUCTURES (NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). N o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES, (B) BUIL.DING(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. 9 <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES <br /> TO BUILDINGS,ROADS, LAKE, LOT LINES. ' y "� <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE o <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> l � <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> A � <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: r w <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT, z r, <br /> 2, REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. C <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. rN <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. r1% <br /> S. ACCESSORY STRUCTUREIGARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. <br /> I declare that fhb applksbon(Including any sccomponylnil schedule)has been wwmkmd by me and to the bed of mV e <br /> knowledge and belief k Is true,correct and complete. I admorAedge that I am responsible for the detail and accuracy of so m E e yy <br /> Information contained In"appkatbn(bdudkp arty wwmpenykq sc aduls)and I haUm declare that I recognize dw this c > to <br /> Inkrmason I on providing will be rolled upon by the County of Bumett Wisconsin In detpminkV whether to Issue a permit. I e: $j' <br /> further accept sg YsbNlly tint may be a result of the Casey of Burnett relying an this kftmedon I am prwAdkrg M this <br /> application. I agree to permit county officials ehsrged with admirdeb" p county oNkanoaa or otim aumorlad person to haw <br /> acres to the above-described Ixerdses at any reasonable hma for the purpose of inspection. « + A <br /> OWNER'S SIGNATURE 7�1L P l/�. ?IZy/V7 B yj o <br /> ZONING ADMINISTRATOR �'/m r IIGI H B ws e <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM PATE OF ISSUANCE N N 8 <br /> ���trny Ge4-)e lel J-6 ks�j etohw Nz�i <br />