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BurnCounty 7{10 County Road KNo102Sire <br /> , . , n,WI 54872 Omos of Zoning Admktl g <br /> APPLICATION FOR LAND,pusEiI <br /> PE T'S : <br /> OWNER / ` , LrU,(jlr..S '�fELEPN0 �7�� <br /> MAILING ADDRESS �Z. 5 'Muz. <br /> PROPERTY ADDRESS <br /> kA e5 yv s <br /> LEGAL DESCRIPnON �.z -r4o A17 3 us- q� s � <br /> _t <br /> TYPE OF M534IT(5): SINGLE-FAMILY DWELCING O ADDITION O DECK❑ GARAGE/ACCESSORY STRUCTURE w <br /> BUNKHOUSE❑ 59.692(1V)GAZEBO O STAIRS❑ FILLING/GRADING❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING�❑ COMMERCIAL ADDITION ❑I COMMERCIAL ACCESSORY S fTU IF 0 ro 3 <br /> STRUCTURE/AOOITION USE: vW'�- 1 O S� -I- <br /> (HHjome/Cabin;Commercial Business; Badmo •nD_eck�;etc-) �„ I J p S <br /> BUILDING CONTRACTOR:l SPX in+ d , slCt . - L�4�uwy?_i <br /> V4 Ste/ tB -3j_&"*_' -oven r� s <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8%XII SHEET OF PAPER. ANY DWOMI�U.pEG= PLOT PLANS '� c <br /> WILL 8E RETURN®, r <br /> DIRECTIONS POR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1, ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE, C <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(ES)AND ALL NEW <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, C> .. a <br /> AND INDICATE NORTH(N). Q <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)To ALL LOT LINES,(B) BUILDINGS) �OI <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT($)TO THE ORDINARY HIGH WATER MARL( <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WEILAND AREAS,AND(D)LOT DIMENSIONS. <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES <br /> TO BUILDINGS, ROADS, LAID?, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 1 <br /> 6. IF SEPARATE PIANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE y <br /> I PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: SUAAING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN AJ <br /> NEEDED. (1^ 1 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> O <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. � O <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE: g x <br /> A. 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 GARAGWSTORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. 2 <br /> 6. <br /> 7. R " QUIC <br /> xl 7� <br /> I dedne UIM thY 0"ke may�'mPWAV sd ak"hm been eWdm d by me and to tea bad of mY o p <br /> bwh%dgewwb blK a7rreE[wd oonydete. I admowled/e Met l an mopwable 8X Ula dotal and accuracy of al �," m-E: <br /> Iffounalkon In ��.W cmtan(kldAkq any amNtpenykq ameduk)wo I fwMw declare go I ravr m that thk b IL y <br /> kfarrnelbn I am prartlag war oe team WdB by the tUunty of Burnett WMmRPIn b do0erndNn9 w11aNEw to lite a P0111 I <br /> hlflller aoayE e♦lMaty U1at may be a IeaR of ft Catelq of BumeEt Pdye'q an Mk biNmseMn I am proatleg to Mit b <br /> applcatfon. I agree td perrNt oouety omdek dleped adth adnidWatllp county atdkwloes ar other aW warm pomn w himm a S <br /> armee,mMeabonedeevbedpNMttosatanyIauollI",Oft Torthe purpose abwpatUm. S zlCJ <br /> OWNER'S$1F4(A r'p-1 ��•� '° �p <br /> uv� (date) <br /> ZONING ADMINISTRATOR_ �.Y� <br /> TOWNSHIP PERMITS MAY BE REQUIRED C. <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE ; <br /> U' oo '6eo <br />