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Burnett County 7410 County Road K, No. 102, Siren, W1 54872 Office of Zoning Administrator N 9 z <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER I Ck. TELEPHONE <br /> LCn -P nU ( 1FVI p S <br /> MAILING ADDRESS i JO J t�35_ �4 (S� , lel lQ,(�(1w W, 560-52— v , <br /> PROPERTY ADDRESS 1 1 <br /> 2�Z�, 1 Lt1 T Lila 5fe-ir , l,�l 5�Ff93 <br /> < I <br /> LEGAL DESCRIPTION <br /> Z LJ ?40--07-0146 - <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK❑ GARAGE/ACCESSORY STRUCTURE <br /> BUNKHOUSE ❑ 59.692(1V)GAZESO❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT 0 <br /> COMMERCIAL BUILDING O COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ s' R <br /> STRUCTURE/ADDITION USE: /C`_ L-•(_� Bz <br /> (Home/Cabin; Com inial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: 120 6� ee-- <br /> r� <br /> 3 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8%X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o <br /> WILL BE RETURNED. 0 <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW r) <br /> BUILDING <br /> S/STRUCTURES (NO), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, O <br /> AND INDICATE NORTH (N). v . <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) p g <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK3 <br /> (OHWM)OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND(D) LOT DIMENSIONS. 7- w <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES q <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <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 <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDINWSTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN 4 1` <br /> NEEDED. <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: LIJi <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. -IAV <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. z <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. �0 <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER — <br /> 5. 7AccEssoky- <br /> RUCTU G <br /> RE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> FOR HUMAN IT <br /> 6. <br /> 7. <br /> af) �n�ani <br /> I declare Met this epWlotlon(knduding any acmmWMMY adfeduie)has been a mmMd <br /> knowledge and bend It b Due,Correct and by end to the best ur my o a ^ $ q 1 <br /> amiry I admowkdpe that I am rand I responsible Lor the deteq and •` -�"�=�m� w ' <br /> Worrhhatlan contained kh this appllotlon(Yndudkg any acoomparhyknp schedule)and I furtinar declare tlnat I ree gnl�ae tlnat this <br /> Information I am PMMkV will be railed upon by the County of Burnet Wiewnsln M determin6q whether to bum a permit. IaPP <br /> further accept all Rebility h1w may be a result d the Comity d Burr relyknp on tMs kdarmadon I am <br /> ilm aaWee Eo Permit county olllchb daryed with adrnlnbtrw*V aotmtY ordkwxm ar Otim a person to have F ^d' H g <br /> boom to Metime for the Purpose of inspection. <br /> OWNERS SIGNATU ` <br /> �yaiam��titir <br /> ZONING ADMINISTRATOR 6 I <br /> 2012 fid : : 3; I <br /> WNSHIP ITS MAY BE REQUIRED a <br /> THIS PE IT SHALL EXPIRE ONE YEAR FROM DATE OF I v N w u H <br /> N0 w4*5k AV Cc rs lu�f/As� �ctifar y /YL.a�J . �ONING LINTY u u a o 0 8 <br />