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Mar 24 10 11:51a p.2 <br /> nar e4 Lu ue:Uup P. 1 <br /> Burnett County 741D County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator g if <br /> APPLICATION FOR LAND USE PERMITS G. <br /> OWNER <br /> TELEPHONE 4oc-, Ygl 7/.S-( <br /> U <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS <br /> PD( o S <br /> LEGAL DESCRIPTION n `• p <br /> TYPE OF PERNIT(5): SINGLE-FAMILY DWELLING C ADDITION DECK C GARAGE/ACCE5SORY STRUCTURE❑ o <br /> BUNKHOUSEE3 59.692(!V)GA2EBO C STAIRS ❑ FILLIN'G/GRADING Q CAMPING UNIT C <br /> COMMERCIAL BUILDING ❑ COMMERCIA//L ADDITION Z <br /> Q COMMERCIAL ACCESSORY STRULTURE C S <br /> STRUCTURE/AODITION USE: legal, Z <br /> (Nome/Cabin;Commercial Business; Bedroom; Deck;etc.) �^ P <br /> BUILDING CONTRACOR; S;'�vt.F/ate <br /> N <br /> 0 <br /> A PLOT PIAN MUST BE PROVIDED ONAN B <br /> WILL BE RETURNED. 'h K11 SHEET OF PAPER. ANY W COMPLETE OR ILLEGIBLE PLOT PLANS N a <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AR1AL OR TOP VIEW) r $ <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. c ^ a <br /> 2. SHOW THE LOCATION AND SIZE Of ALL CIBUILDINGS/STRUCTURES(EB)AND ALL NEW ria " n <br /> BUILDINGSISTRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)SUILDING(S)TO ALL LOT LINES, (B)BUILDING(S) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK 5' W <br /> (OHAMI)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND (D)LOT DIMENSIONS. n d <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- 9. m <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> S. IF SEPARATE PLANS ARE SUBmTTED ey AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR, ETC.,THE I� <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER, 1\v r <br /> NOTE: RUnDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. ...r <br /> THIS PERMIT IS SUBIEGTTO ALL CONDITIONS LISTED BELOW: <br /> I <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT, ^ <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. n z <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 I'� SOI <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERM"S ALLOW FOR PRIVATE RESIDENTIAL GARAGff$TOPAGE ONLY. Q <br /> N jT TO BE USED FOR HUMAN HABITATION. <br /> a- ;Sninjf i5 ftr, a horn-, vn&1,A)0 c©nsf?uch"jh (?lose 1ha+rl /00 � <br /> 7. tv ordltna,-,j hto6wak1-n-ma,-k. is allowed Und?.r�lh�sperml-J= <br /> g n RC33evR. ,3. � <br /> I declare that this appllgton(Iadudiq any aaComP&IM9 schedule)has been examined by me and to the best of <br /> hnewhWge end baud It Ls tnm,ma*M and aompleta. 1 admonlad96 that t am reepontlble far the detail and a=McV cf dl a ? m m s-a <br /> IKpmretim m had In this appllcatton(bnduding any ecoaapwnyarg sahadule)and I rurew declare Oat i n xagtibe thet oris <br /> Werroader I am Pmridh,g win be mkd use"by the Clarity of drmatt Wisconsin datermhang whether to base a pamh. I a g m a'N <br /> ar wrapsY <br /> fwtball llaaft that may be■read W ty the Cauaof Burnett relying an thin Information 1 am pmwdag in this = �� )„«5 <br /> ePpafatien. I agree to Pani County ofrk4ls eharged with administrating County ordination or other armed person to have ^ <br /> access to the Abovo-described premises at any mneooable time for the purpose pf Inspection. . <br /> m <br /> OWNERS SIGNATU n S <br /> 3a mn0 <br /> (date) *w ,a_ <br /> ZONING ADMINISTRATOR S �lar)(r4Qn -Z a c a I x <br /> 0 Fig , <br /> TOWNSHIP PERMITS MAYBE REQU[RED <br /> THIS-PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE 'Dtl a 0 8 <br /> 1Q44e-� fnaiI ��ce ('L)nsfruc17�,:i �� �MN� <br />