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b z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator c o <br /> APPLICATION FOR LAND USE PERMITS H w <br /> OWNER �I Lam/ VOUA� TELEPHONE ��Z�y9_Gys�/ o <br /> awl./� 1 1vv � d <br /> MAILING ADDRESS <br /> 3360 CO. Rb. 140 CHARA MN 5753/8 <br /> PROPERTY ADDRESS 30 863 - wu .A ks ITa vC/ pm Nry "/r 5y S <br /> o �� r• <br /> LEGAL DESCRIPTIONo <br /> LOT 6 CSM V i ti P -7 6E St(/& Gov LaF s� - a <br /> TYPE OF PBtMrr(S): SINGLE-FAMILY DWELLING ❑ ADDITION`❑ DECK❑ GARAGE/ACCESSORY S UCTURE ❑ <br /> BUNKHOUSE El59.692(1V)GAZEBO ❑ STAIRS m FILLING/GRADING ❑ CAMPING UNIT ❑ G <br /> //�` n <br /> COMMERCIAL BUILDING ❑ COMMERCIAL,A�DDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ o <br /> STRUCTURE/ADDITION USE: STAT U0WU TO LAkE z <br /> o <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: ER /t/G n <br /> p 3 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 81 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C o <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) tin 4- <br /> 1. <br /> .-1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, g 9 <br /> AND INDICATE NORTH (N). N o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) °o <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK I <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. �I ty C> <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD (DF),AND ALL DISTANCES 1 q <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. -.[_ ,-^. m p i <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. j <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE _ n <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. I `- <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN I NEEDED. L 01 <br /> THIS PERMIT 1S SUBJECr TO ALL CONDITIONS LISTED BELOW: "1 <br /> t � <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. i R <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. d /', <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER (Al <br /> �I�JJ <br /> SETBACK AREA. Cj <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. E <br /> 6. <br /> 7. > oonL)> <br /> „ zo � � 3 � a"— roro <br /> Sea 3 <br /> 1 declare that this application(including any accompanying schedule)has been examined by me and to the best of my o <br /> knowledge and belief It Is true,correct and complete. I acknowledge that I am responsible for the detall and accuracy of all m m w I-.P ; � .-7 <br /> Information contained In this applimUon(including any accompanying schedule)and I further declare that 1 recognize that this `° �, > > W N <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. 1 ?w V <br /> further accept all liability that may be a result of Me County of Burnett relying on this Information I am providing In this H N �'c <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have .2 8 8 <br /> access to the above-described premises at any reasonable time for the purpose of Inspection. �7Z ,sy > 0 8 0$ 8 y <br /> OWNER'S SIGNATURE 7-/J_ O w >`a w o 3? O <br /> (date) o. 2 <br /> rr <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE N o N N <br /> �errne �- � Le � P�cV�td (p b��Ze _j � � 0000g <br />