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Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator - =_ <br /> APPLICATION FOR LAND USE PERMITS <br /> ccu bn,- 997-8476 <br /> OWNER TELEPHONE C: <br /> b ..a.. <br /> c <br /> MAILING ADDRESS •'Uja`1,1. SI , � I D& 1 \'r' /=L/(-30 1 ry <br /> PROPERTY ADDRESS U `I W �) !J .J�� - 1 <br /> 9, 39 D, S�a-1. Niv- ,s1ek 1� a ru WS <br /> LEGAL DESCRIPTION (, <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ADDITION DECK GARAGE/ACCESSORY STRUCTURE P, -` <br /> BUNKHOUSE• 59.692(IV)GAZEBO STAIRS FILLING/GRADING CAMPING UNIT \J <br /> COMMERCIAL BUILDING COMMERCIAL ADDITION C MMERCIAL ACCESSORY STRUCTURE l <br /> t Z <br /> STRUCTURE/ADDITION USE: 1-ILM'(_' <br /> /' (Home/Cabin; mmercial Business; Bedroom; Deck; etc.) <br /> —BUILDING CONTRACTOR:e-I-YT Jp <br /> z _ S ICU <br /> < <br /> AP LOT PLAN MUST BE PROVIDED ON AN 8'h XII SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS r h G <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. i* <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW C ; .. <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, v 1 <br /> AND INDICATE NORTH(N). O Z <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 WATER MARK <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D) LOT DIMENSIONS. 1 <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES 1 G <br /> TO BUILDINGS, ROADS,LAKE,LOT LINES. 1, C'TY o <br /> 5. 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 L^_' <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. �l <br /> 1 ri l y <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ON51'TE VERIFICATION MY BE DONE WHEN 51, <br /> NEEDED. S!_I <br /> d 1 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: l i <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. o Z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. l z <br /> 3. NO GRADING OR SHOREIAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. d <br /> 9. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> _.SETBACK AREA. —` --- -_ . __- _. . .rte... . }L <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. +. <br /> JVe / <br /> NOT TO BE USED FOR HUMAN HABITATION. 0 F <br /> 6. <br /> 2 > nnnLr > O 'g <br /> 3 330 - . 3 <br /> knowleeMand belief it istioa,torrect and ng yaccoIckowledschedule)has <br /> et bam een exares,onedbyme r the ato nd and at of accuracy <br /> knowledge and beliefRis We,CORettddd complete.ung <br /> acknowledge Module)and I furterMeare that <br /> Irecognize of that <br /> m °= > <br /> information contained iVappli (indutling anyacoompanyingscM1etlule)antl]forthertlttlare that]recognize Mat this => > mN Y <br /> information T am providingupon by MeUablti <br /> Wisegnsin in determining whether to issue s permitfurther accept all liabiliesul[of Meelying Rn[his information I amprovidingin this >application. Tagrea to dals chsng county ordinances or other authorized person toGhave acoersMtheaboi tbe pu�se of inspM!ISSU <br /> _ I� lit W ^ D ' D <br /> OWNER'S SIGNAT ZONING ADMINISTRATO ,/L� (JaDTOWNSH PPERMITS MAY BE REQUIREDFEB 11 2014THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF <br /> BURNETT <br /> U Via' <br /> ZONINGN V g c c <br />