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Burnett Gnunty. 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator _ <br /> APPLICATION FOR LAND USE PERMITS a <br /> OWNERI ��_��. IZ o 1 TELEPHONE - `3 03 \ <br /> imn-�✓ �TISS (J <br /> MAILING ADDRESS2 C / `'_ 5 o _ 1I 4 ^ <br /> PROPERTY ADDRESS I Ciel C <br /> LEGAL DESCRIPTION <br /> TYPE OF PERMIT(5): SINGLE-FAMILY DWELLING ADDITION DECK ACCESSORY SFRUCTUBJE- <br /> BUNKHOUSE• 59.692(1V)GAZEBO STAIRS ITUANG/GRADING CAMPING UNI <br /> COMMERCIAL BUILDING _COMMERCIAL ADDTT�IQ/N COMMERCIAL ACCESSORRYY STRUCT <br /> U <br /> RE 3. <br /> STRUCITIRE/ADDIION USE: -�mT2ILlh�G (�J/ (�(�/(�(� — `i'(J(� VVII.Oi N(�) c <br /> (H in;Commercial BA.TBusiness; Bedroom;Deckf; etc.) _ <br /> BUILDING CONTRACTOR: t-_N`� Bull L(.)lNh Zope02ON _ v <br /> C � <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8%X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PIANS j :6 <br /> WILL BE RETURNED. <br /> r <br /> DIRECRONS FOR PLOT PUN DRAWING: (ARIAL OR TOP VIEW) c <br /> .3: 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 Cl m r: <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, r 1 a <br /> AND INDICATE NORTH(N). Y � <br /> 13. 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,STRUM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. -' <br /> V4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES ('U <br /> S. <br /> TO BUILDINGS,ROADS, LAKE,LOT LINES. <br /> INDICATE IF A WALKOUT BASEMENT 15 PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. J <br /> 16. 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: G/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: L1 i IKl <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. i <br /> N/A —2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. x <br /> A lb 13' NO GRADING OR SHORELWD ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. J <br /> AIA 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. 3p > nnnn > a <br /> I declare Mat this appliwNon(including any accompanying schedule)has been examined by nM and to Me best of my a o,j w 3 <br /> knowledge and bellef it is true,wrre and wm <br /> plete. 1 acknowledge Mat I am responsible for the detail and amuraC,of all . = v da <br /> Information contained in this application(Including any a®mpanying sMedule)and l further declare MM l recognize Mat Mia <br /> Information l am providing will be relied upon by Me county of Bumett Wisconsin in determining whether to Issue a permit. I _ — S <br /> further adept an liability that may hBOreiuka�[he County of Burnett relyin,on this information l am providing in this <br /> application. lagree oLpermX worry flci Is ehae ad with adminirtrethg county ordinances or other authorized person to <br /> haveaooessfo Meabov e p F, a[any'easonable time for Me purpose of lnzp <br /> OWNER'S SIGNATURE )"r'— IZ n � ^ <br /> (date) 2 n >'7 <br /> ZONING ADMINISTRATOR a n Ln <br /> AUG 1 62013 T <br /> OWNSHIP PERMITS MAY BE REQUIRED = - <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSLIBbITNETT COUNrr <br /> ZONINGU _- <br /> � 000 <br />