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Bumett( County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g d ' <br /> APPLICATION FOR LAND USE PERMITSGeorge—I Im G: a <br /> OWNERELEPHONE <br /> rFit�i/y �io�er7,6 ZCr &60-]J-7,3 <br /> MAILING ADDRESS L 6MZ29p <br /> PROPERTY ADDRESS Te/' <br /> LEGAL DESCRIPTION S)VyQ-�t/ <br /> TYPE OFPERMIT(S): SINGLET-FAMILY DWELLING ❑ AODIT ON DECK GARAGE/ACCESSORY/STRUCNRE ❑ .fir <br /> BUNKHOUSELI 59.692(1V)GAZEBO C STAIRS C FILLING/GRADING C CAMPING UNIT 13 <br /> COMMERCIAL BUILDING C COMMERCIAL ADDITIONC] COMMERCIAL AC SSO/RV TRUC/TURE ❑ <br /> STRUCTURE/ADDITION USE: / Pitt d/' U T,,S/,h'n-( �1Y1'".- o �V <br /> (Home/Cabin; C mmercial Business; a room; Deck; etc.) _ <br /> e0/ iW <br /> BUILDING CONTRACTOR: <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. <br /> n <br /> DIRECTIONSFOR PLOT PLAN DRAWING: DISTAL OR TOP VIEW) <br /> 1. ALL of p C <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN ORDRAWN SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/5/STRUCTURERE S (EB) AND ALL NEW <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). n< o R <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (8) BUILDINGS) = 1 <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK 5 Q O <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D)LOT DIMENSIONS. C W <br /> 4. SHOW THE LOCATION OF THE WELL W), SEPTIC TANK (ST)AND DRAINFIELD (DF),AND ALL DISTANCES o YJ 2 <br /> TO.BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. ., A <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE i U <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. [) 5 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN y C R <br /> NEEDED. i <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: — <br /> A C <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60A DAYS OF PERMIT. a Z <br /> 2. REMOVAL OR OR SHO OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. E a <br /> 3. NO GRADING ESS INCLUDING ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC, ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7 Dnnnn apt <br /> 1 C o? m <br /> Zuagow3 <br /> 1 declare Mat MIs appl Is oli ,(Including any accaale,. I ng mtl led e)bas been examined of me and to one bast rmy <br /> knoydedge and belief it U true,mmect and cording a I acknowledge Mac I le rand Tobin for ed detail and a og np of all <br /> Information I amcorrtalred In His ill be r tion(including t e c accompanying sWisonsi and I Nrther ng Wne Mrt 1 recognize MM MIs9p m Y <br /> In/Mrmatlon t am proNtling will be relied upon by the County of Burnett Wlaconsln In determining wbeMer In Issue a permit. 1 a,^e e w t <br /> further adept all liability Mac may be a res ft of Me county of BumeC relying on MIs Information I am providing In iris G « <br /> appliratlon. I agree w permit county oTtlals charged w adminim a ocamn,ordinances or other euthmtzed person to Kaye ^ n goo <br /> axes to one eboveEesaibed promises M any reasonable time for one purpose W inspeNon. °m v 15141 <br /> R <br /> m Q6gooD <br /> OWNER'S SIGNATURE - j <br /> (date) <br /> ZONING ADMINISTRATOR LZ�"�L[-C.f � M _ : 9, 0 7 <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> �THIS/PERMIT SHALL EXPIRE ONE YEAR FROM DATE <br /> U�GT Sife DATEOF ISSUANCE <br /> — <br /> o e <br /> �' ,Tr <br />