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o <br /> Burnett County 7410 County Road K, No. 102, Sken, WI 54872 OII)ae of Zoning Administrator g <br /> APPLICATION FOR LAND USE PERMITS y: w <br /> OWNER /Z14 <br /> TELEPHONE -7 �/ % 74>7GMAILING ADDRESS �) /2d w)-13 S T�.QI I vl <br /> PROPERTY ADDRESS d SS/8 9 3 ` <br /> d � <br /> 0 <br /> 1/ < <br /> LEGAL DESCRIPTION �T e 5 M A 3 4111 <br /> V 6 P Z 7 j-2,7 Y Cd <br /> Gu T zAsPs,j 41 N, <br /> TYPE OF P6WIT(S): SINGLE-FAMILY DWELLING D ADDITION D DECK f� GARAGE/ACCESSORY STRUCTURE ❑ v� <br /> -D,p' ;*4LKwAY T..) LaKt /z(7 <br /> BUNKHOUSE D 59.692(1V)GAZEBO D STAIRS O FILLING/GRADING D CAMPING UNIT D <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE D c <br /> STRUCTURE/ADDITION USE: 00/le < G. n/L3 ^ o <br /> (Home/Cabin; Codimerdal BusineSS; Bedroom; Ded(; etc.) 6 1x/Zz <br /> BUILDING CONTRACTOR: <br /> n <br /> O � <br /> A PLOT PLAN MUST BE PROVIDED ON AN a%X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C o <br /> WILL BE RETURNED. 0 c <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) rr) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. q a <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW �f 'O 0 <br /> BUILDINGS/STRUCTURES (NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, o <br /> AND INDICATE NORTH (N). Q� z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) 0 0 <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. p <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD (DF),AND ALL DISTANCES b' <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. S. <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 �'nJ <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. v i <br /> NOTE: BURDING/SiRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN y <br /> NEEDED. <br /> THIS PERMIT is SUB]C-CT TO ALL CONDITIONS LISTED BELOW: r <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n Z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. � <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 <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. shoo 0o n Cron <br /> [declare that Mb epplkatbn(Irdudarg arty aocomparnyalp adledWe)has been oomined by me and to the beat of my <br /> knowledge and beget R Is true,correct and complete. I admowledge that I am reaportable for the detail and accuracy of all - <br /> Infmmallm contalnW In this appkatlon(aldudaq any acoompenyap sdwWtdo)and I hwBlr declare Mat I recograze Mat this ' m>>m a <br /> Infomnation I am provid"will be relled upon by Me County of Bum tt WMcgeYr In detarmalmg whether to true a permit. I 8 c R 8:gm �d <br /> kwblw accent all liability Mat may be a result d Me County of Bumex relying on thio Information I am provldarg In this = ` »�^ <br /> application. I agree ta pamR county dlarged with ad county onWwncrs r otter audmwt ed person to have o"'..8 e H <br /> acaata to the above deaalbed prc ftewwtit Y am for of I IniE o 8 aa <br /> d ro ^ > 0 8 0 0 8 H <br /> OWNERS SIGNATURE L._ � ur <br /> (date) <br /> ZONING ADMINISTRATOR ' „ .°. � F <br /> // �' o $ � <br /> TOWNSHIP PERMITS MAY BE REQUIREDp��q�1E-vTT COUNTY � <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ^ENINGn <br /> ' MIS <br />