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"L <br /> 3 <br /> Burnett County 7410 County Road K,No. 102, Siren,WI 54872 Office of Zoning Administrator - <br /> APPLICATION FOR LAND USE PERMITS <br /> C� GsS Zu� rt.Si � r o <br /> OWNER TELEPHONE <br /> f�/�hLeR356�67c5 <br /> n o <br /> MAILING ADDRESS �go/ vic <br /> /v p <br /> PROPERTY ADDRESS 6xdr PJ6 ydr.,t✓ �:�xe oma/ k t� l7/ ,�;/$ 0 I <br /> LEGAL DESCRIPTION !,j <br /> i IGG a� 1+.LIELLIw/lO A - yIyEC_ON JAGEIACat YSTR l <br /> TYPE OF PERMITS): SING -FAMILY DWELLI GAO ADD�Ir ON ❑ DECK❑ GAS E/HCCE�Y TRURURE _ <br /> BUNKHOUSE 0 59.692(IV)GAZEBO C STAIRS O FILLING/GRADING C CAMPING UNIT O <br /> COMMERCIAL BUILDING 0/CCOOMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE C - - <br /> /le/ Z <br /> STRURURE/AOOIITON USE: I <br /> 1 <br /> woe/Cabin;Commercial BU;ineSs; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: �!l k f J PP�ka - <br /> O <br /> F <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8%X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. r <br /> r57 <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL DUSTING BUILDINGS/STRUCTURES(EB)AND ALL NEW <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, <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 MEASUREMENTS)TO THE ORDINARY HIGH WATER MARK °C <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES _ +w <br /> TO BUILDINGS,ROADS, LAKE,LOT LINES, L <br /> S. 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 <br /> 'PLANS MUST BE SIGNED AND DATED BY THE OWNER. "tf <br /> _ C <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> 7� <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: ' h <br /> I. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <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 /> S. ACCESSORY STRUCTURFJGARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. £ <br /> G. <br /> 7. <br /> n � 33R ayr <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my y O j � _ <br /> knowledge and belief it is true,correct and complete. 1 acknowledge that 1 am responsible for Me detail and accuracy of all m c o' u <br /> information contained in this application(including any accompanying schedule)and l Further detlare that l recognize that this cti> o.-, ; j <br /> information I am providing will be haled upon by the county of Burnett Wisconsin in determining whether to issue a permit. 1 <br /> Further accept all liability Mat may be aresult of Me county of Burnett relying on this information l am providing in this <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized parson to <br /> have access M Me ove <br /> ab -d dbed remises at any so <br /> reanable time for the purpose of Inspection. m > <br /> OWNER'S SIGNATURE ! ! 7 D ry x <br /> M 6 - <br /> (date <br /> ZONING ADMINISTRATOR <br /> —HP-3 2013 , a <br /> OWNSHIP PERMITS MAY BE REQUIRED = <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCLBURNETT-COU c <br /> ZONING Usao�� <br />