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Burnett County 7410 County Road V, No. 102, Siren,WI 54872 Office of Zoning Administrator P ! <br /> APPLICATION FOR LAND USE PERMITS ] <br /> OWNER R0, �DcJ <br /> Ka.r-\ TELEPHONE <br /> 1 C0 <br /> MAILING ADDRESS P.0-JOEL <br /> (j� 4 <br /> PROPERTY ADDRESS 1-'1664 PY&e GbpA.G LAelb K i '5el. 6LIt"2 t <br /> Loi' 15 0 L&J TY1a4 Cto. $�i3, VOLurne, `a , ? i <br /> LEGAL DESCRIPTION w e� (a15' LbOM�* COMA Q <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING❑ ADDITION❑ DECK 0 GARAGE/ACCESSORY STRUCTURE (} H O <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO❑ STAIRS❑ FILLING/GRADING❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE 13c y ��-- <br /> STRUCTURE/ADDITION USE: �� h d�G GJ 8 <br /> (Home/Cabin; I Business; Bedroom; Dedt, etc.) I 'Q <br /> t 3n G( <br /> BUILDING CONTRACTOR: O n <br /> y <br /> s: <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 H X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C <br /> WILL BE RETURNED. i <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. y n <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW ter "O <br /> BUILDINGS/STRUCTURES(NO),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDINGS)TO ALL LOT LINES, (B) BUILDINGS) <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENTS)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(SI)AND DRAINFIELD(DF),AND ALL DISTANCES <br /> TO BUILDINGS, ROADS, LAKE,LOT LINES. .0 m <br /> 5. 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 '� o <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STATED SO AN ONSITE VERIFICATION MY BE DONE WHEN J <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: GI r <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. per, z p A <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 4U - a <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. p, 0 <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER yJ (J� G <br /> BACK AREA. <br /> 5. ACCESSSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. Q I 1 <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. aioon0 . y <br /> I declare that this apPMmtkn(ndurb g any ac amprryh9 sdiedWe)has been a anvinm by me and to the best of my 3 0, u. w. <br /> Imovdadge and hese!R is true,correct and mnplata I adorowla 19 that I am for the detaa and accuracy of are <br /> kftmetlon confebed n cob oppNcWm(rwudYg arty aamnWwr#*d sdedule)and I frtlm de I that I recognise that dus v `:.a a m <br /> Informationi am prwAdrg vAll be riled upon by are Coity of Burma MRsorwain In dmamYnYg sAmdua to Iona a p, I I g R n w S ! <br /> Arrdnr aarept al BWaty that tory be a reaR of the County of 8nernAt relying an tits I ift iatiar I an proslAg in nils <br /> appeuUon. I agree to par panty aaldfls charged vM adman I county ord1rum K or atler a tlrataed person to have <br /> access to the obwo-desalted Pin k at any remonable Lane for the Purpose of <br /> ��/��I '� SA Sgg�oog <br /> OWNER'S SIQIATUREcfin!J`JI ✓A-n�-� �� t ( m tI u,z' <br /> AH a>it co <br /> '7�' [''I�; ^. (date) f.�� eU <br /> ZONING ADMINISTRATOR s Ito 1— Vz I( q�iA n `�i u ' �' Ss <br /> lc: !F� <br /> � <br /> TOWNSHIP PERMITS MAY BE REQUIRED a .. <br /> THIS PERMIT SHALLEXPIRE-ONE YEAR FROM DA OF ISSUANCE <br /> 4 ry1 PiztE-✓ u / �p bLl � l i 0 N <br /> ( x vim l -/ 8 8 158 8 <br />