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Burnett County 7410 County Road K, No. 182, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> 1 r� 4I 1/ c 1 <br /> OWNER L j �4y i 4yJ YW ��TELEPHONE 9/9- 33 <br /> A-T I d r T 6 p�. 0-oo62*zrz - a <br /> MAILING ADDRESS 1,02S0 <br /> Valle fGv.l epq Ve )37 _' - pe iL ION Sf 4 1` <br /> Y ; en q_ <br /> T-y q /� ,w�{{s <br /> PROPERTY ADDRESS �37!)q PL�L�Sa... Rysdl SI.Qbr5-1877— <br /> LEGAL DESCRIPTION <br /> TYPE OF PERMIT(S); SINGLE-FAMILY DWELLING ADDITION DECK❑ 'GARAGE/ACCESSORY STRUCTURE 5 <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS❑ FILLING/GRADING ❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING COMMERCIAL ADDITION'_5 <br /> COMMERCIAL ACCESSORY STRUCTUREIK o_ ` <br /> ` STRUCTURE/ADDITION USE ��'_5 s-✓yr4dlLss TAGL4 'tu �tvnm✓.+. C.�.� IO ✓ems Y <br /> (Home/Cabin OmmerCial Business;'Bed mom; ck; etc.) i <br /> BUILDING CONTRACTOR: - <br /> o S <br /> A PLOT PIAN MUST BE PROVIDED ON AN 8 K X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. v <br /> n <br /> DIRECTIONS FOR PLOT PLAN D (ARIAL OR TOP VIEW) m O <br /> 1. ALL REQUIRED DIMENSIONSSIONS OR DISTANCES TO BE SHOWN ORS/DRAWN TO SCALE, n <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING , PORCHES AND OT URES RU AND ALL NEW t"I p�O <br /> BUILDINGS/STRUCTURES(NBj,INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). N c <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES,(B) BUILDING(S) <br /> TO CENTERLINE OF ROAD, (C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATERMARK �- <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. I a <br /> 4, SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(OF),AND ALL DISTANCES d <br /> TO BUILDINGS,ROADS, LAKE, LOT LINES. (JJ L <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. C', <br /> i 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER, CONTRACTOR, ETC.,THE w <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. Z, �W <br /> WJ .. <br /> THIS PERMR IS SUB]ECT TO ALL CONDITIONS LISTED BELOW: <br /> 5 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN fid DAYS OF PERMIT. O Z N <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. (y z <br /> 3. NO GRADING ES SNCLUDING ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. _ 1 <br /> I 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC,ALLOWED WITHIN THE REQUIRED WATER _ V <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. y <br /> 6. <br /> 7. <br /> z 'p9 nn pOpY G 'tl <br /> 1 declare that this application(Including any sconampimylog sUadule)has been examined by me and W the best of my <br /> knowledge and belief It Is min,cored and complete. I acknowledge that 1 am responsible far the detail and accuracy of all C "9 <br /> Information contained In his application(including any accompanying schedule)and I further declare that 1 recponine that this > >m <br /> Information I am cewiding will be rahad upon by be County of Boman Wisconsin in determining whether to Issue a RkHmt. 1 c I 2 T <br /> further accept all liability that may be a result of the County of Burnett relying on this Information i am providing In Nis b <br /> appllcatlon. I agree to Permit county PRltlals directed with administrating county ordinances or other authomed person to have a.� o t2 d n <br /> j access to the above-do svibed pre v a[any reasonable -e for the W mou of InVeMon. m co re <br /> I cq NQS 000g = <br /> OWNER'S SIGNATURE > ^U <br /> LLL777 m <br /> ZONING ADMINISTRATOR / _. _ _—� GU IY c, n m <br /> /OWNS2XPIRE <br /> S MAY BE REQUIRED GU IY <br /> THIS PER SHALL NE YEAR FROM DATE OF ISS <br /> B1914FJETT000 Soo 0 <br /> ZONING <br /> I <br />