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w aca z <br /> g 3 <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator - - <br /> APPLICATION FOR LAND USE PERMITS <br /> a <br /> OWNER '6rraR�-� Tr KAQ�jSL TELEPHONETELEPHONETELEPHONE5-2-1 / T <br /> MAILING ADDRESS ' Ask IAROI/ ?ye S 1y. PAH/ 40 7y/0.2. <br /> ,2� �[ D/ A <br /> PROPERTY ADDRESS 27*1/ 5/DRCrfodd Ml. Ass* ^ WX r_r-- <br /> LEGAL DESCRIPTION S <br /> TYPE OF Matin (5): SINGLE-FAMILY DWELLING 0 ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE 0 <br /> BUNKHOUSE 0 59.692(1V)GAZE0O O STAIRS 0 FILLINWGMDING 0 CAKING UNIT 0 <br /> 9 <br /> COMMERCIAL BUILDMG E) COMMERCIAL ADDI/TIO_4, COMMERCIAL/ACCESSORY STRUCTURE <br /> 0 <br /> STRUCTURE/ADDITION USE: `L— <br /> 1� ome/Cabin:Commercial Business;Bedroom;Dec ;etc) <br /> BUILDING CONDUCTOR: bot A F101"pi y <br /> s <br /> A PLOT PIAN MUST BE PROVIDED ON AN B W X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS +Omi <br /> WILL BE RETURNED. 3 <br /> Fle <br /> _ <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) e g <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. yet9 <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRULTURES(EB)AND ALL NEW QQ r7 <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, V <br /> AND INDICATE NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WEI AND AREAS,AND(D)LOT DIMENSIONS. <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES y <br /> TO BUILDINGS,ROADS,LAKE,LOT LINES. Q U1 <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PLANS ARE SUBMrfrED BY AN ARCHITECT,ENGINEER, BUILDER CONTRACTOR,ETC.,THE <br /> PUNS MUST BE SIGNED AND DATED BY THE OWNER. ji <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. (� <br /> THIS PERMIT 25 SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. b �' <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION 15 RESTRICTED ALONG SHORELINE. ?p <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 IT)BE USED FOR HUMAN HABITATION. fi .L E <br /> 6. k? „(.,,ens .t" �r PJ<l i/f� fi a �I�Jh���� �) <br /> 7. A,4'1 6)"'lu _ -4/o Orth. g/f'(t H7n /FHT 'N/0�^ o e nna e <br /> I declare that this application(including any aaompanyln9 uhedula)has Men examined 6l'meand to Use best of my <br /> knowledge and belief it is true,cafnict and complete. I aclmowledge Mat I am responsible for the distill and accuracy Of all -' y <br /> information contained in this appiiotion(including any accompanying schedule)and 1 former declare that I recognize that this = D to$ <br /> information 1 am providing will be relietl upon by the County of Burnett Wisconsin in determining whether to issue a permit. 1 - <br /> fortheraCCeptall liability that may be a result ofthe County of Burnett relying on this information l am providing in this SMbv <br /> applicotion. I agree to permit county officials changed with administrating county ordinances oromer authorized person to O+ L i $ R <br /> have access to the above-described premises at any reasonable ime for the purpose of inspection. 6 8 <br /> OWNER'S SIGNATURE - a1 <br /> (d <br /> g5 - = <br /> ZONING ADMINISTRATOR � �6,G a 'a,. S <br /> rJU 23 0013 ti � w dim <br /> TOWNSHIP PERMITS MAYBE REQUIRED " <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF IRT COUNTY „ <br /> ZONING <br /> u'a �ox�g <br />