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Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator I 3 <br /> APPLICATION FOR LAND USE PERMITS <br /> I <br /> OWNER DAV 10 C • 2DRAZ/(_ TELEPHONE 6SI'Z'f S—J{7G0 j <br /> MAILING ADDRESS !p $G fc?z Af0 Aet7 NEw A'JeJsm owtl <br /> PROPERTY ADDRESS,, AwY 77 DAuBdxv wI <br /> LEGAL DESCRIPTION <br /> <� T ( SuAVEY MkP Vol.. Z P.t-4*7 <br /> TYPE OF PERMITS): SINGLE-FAMILY DWELLING 0 ADDITION[] DECK 0 GARAGE/ACCESSORY STRUCTURE - <br /> BUNKHOUSE❑ 59.692(W)GAZEBO ❑ STAIRS D FILLING/GRADING 0 CAMPING UNIT❑ <br /> COMMERCIAL BUILDING❑/,C,O�MMlERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE 13 <br /> STRUCTURE/ADDITION USE: l.lC1'I CI(�Pi <br /> oIn <br /> Cebin; Commer0al Business;Bedroom; Deck;etc.) <br /> BUILDING CONTRACTOR: .STEL$EG." GL A)S T• a <br /> A PLOT PUN MUST BE PROVIDED ON AN 8'/s XIl SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS '- <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PUN DRAWING: (ARIAL OR TOP VIEW) I� <br /> AL! QVRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE �C) <br /> C-^ <br /> 2. . SHOW THE LOCATION AND SIZE OF ALL E)CISTTNG BUILDINGS/STRUCTURES(EB)AND ALL NEW <br /> EURDDXS/STRUC7URES(NB),INCLUD!NG DECKS,PORCHES AND OTHER STRUCTURES, <br /> AND Du7:GTE NORTH (N). <br /> 3. 91OW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) ` <br /> 1 <br /> TO CENT-ALINE 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 4. SHOW'SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES -_ <br /> TO BUILDD.GS,ROADS,LAKE,LOT LINES. ' L <br /> 5. INDICATE IF A VIALS BASEMENT IS PUNNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PLAf15 ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR, ETC.,THE = Ul <br /> MAIr MIST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN 1 L <br /> NEEDED <br /> THIS PERMIT LS SUBJECT 40 ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. _ )i <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION 15 RESTRICTED ALONG SHORELINE. _ (P Q <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER1 jy - DO <br /> SDO <br /> ETBACK AREA. <br /> 5." ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RE51DEKML GARAGE/STORAGE ONLY. l <br /> .NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. <br /> 16".that this application(including any accompanying schedule)has been examined by me and W the best of my <br /> knowledge and belief it Is true,correct and complete. I acknowledge Mat I am responsible for the detail and accuracy of all =_ <br /> inh>rtnatbP combined in this application(including any accompanying schedule)and l further declare that l recognize Mat thin <br /> infmrutlon I am providing will be relied upon by the County of Burnett Wisconsin in determining whether in issue a permiL I - <br /> furderaaeptallliability that may be a result of the County of Burnett relying on this information I am providing In this <br /> appitation. Iagree to Permit county officials Charged with administrating county ordinances or other authormed person to <br /> have access to Me above-described premises at any reasonable time for the purpose of inspection. <br /> OWNER'S SIGNATURE \(�//� <br /> (nate) I(� 1ul l! i'):� Ll > n _ - <br /> ZONINGADMINISTRATOR I <br /> TOWNSHIP PERMITS MAY BE REQUIRED (�l JON Z 3, 20I4 1Np� - z <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCEORNEI i COU <br /> ZONING _ : _ <br />