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I - 11z <br /> Burnett County 7410 County Road K, NO. 102, Siren,WI 54872 Office of Zoning Administrator = ? W <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER r,F Pf-GL/ ✓) TELEPHONE _ <br /> iia - 9� s - 3sa(o � <br /> MAILING ADDRESS (�.�•/f ^��/ ; <br /> l I l `l C�v�c. T`C\ Miy,vlE CVVkC� >_ <br /> PROPERTY ADDRESS ` T `Al` r p 1M Vt• SS 3rI�� 7 <br /> 1 ` c <br /> LEGAL DESCRIPTION 3 / , III - I _ __- <br /> TYPE OF PERMITS): SINGLE-FAMILY_DIWELLING ADDi] I-ON ❑ DECK❑ GARAGEJACCESSORY STRUCTURE <br /> BUNKHOUSECI 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 � <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE 0 <br /> 1 � ) r <br /> STRUCTURE/AODITION USE: �(\C d G P e 10�O_ <br /> (Hg a/Cabin;``Commerciaf8\usiness; Bedroom; Deck; etc.) kpL�J.LJ1J' <br /> BUILDING CONTRACTOR: L I w Co, S��o YKGT•L" Iti L y—'O Y\ <br /> x I <br /> A PLOT PIAN MUST BE PROVIDED ON AN 8 Vs X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PIANS - � c <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PIAN DRAWING: (ARIAL OR TOP VIEW) c <br /> I. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. T <br /> 2. SHOW THE UQaRON AND SIZE F ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). o L� <br /> 3. SHO DIMEN I T F�E�cT OF THE FOLLOWING: (A)BUILDINGS)TO ALL LOT LINES,(B) BUILDING(S) { E <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WENAND AREAS,AND(D)LOT DIMENSIONS. <br /> 4. SHOW THE LOCATION OF THE WELL(W),SE2TIC TANK-(SI)-AND DRAINFIELD(DF),AND ALL DISTANCES i <br /> TOjSUIl➢INGS pna0c IA5E_LQL1-INES. l� <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 <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUB]ER TO ALL CONDITIONS LISTED BELOW: <br /> L DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. C) <br /> 3. NO GRADING OR SHOREIAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER C7 <br /> ACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. d <br /> NOT TO BE USED FOR HUMAN HABITATION. S <br /> 6. G-RITi.re tD he 7 %OFA- 1p- m pfYR.l <br /> I declare that this application(including any accompanying schedule)hasbeen examined by meand loth.bestofmy r J 3 7 ? e E A <br /> knowledge and belief it is true,cerrect and complete. 1 acknowledge that 1 am responsible for the detail and accuracy of all <br /> information contained in this application(including any accompanying schedule)and 1 further declare that 1 recognize that this __ = — c <br /> information I am providing will be relied upon by the County of Burnett Wisconsin in determiningwhether to issue a permit. I - <br /> a _ ' <br /> further accept all liability that may be a result of the 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 orotherth <br /> auorued person to c $ = •_ <br /> have access to the above4escniled pr m z t any reasorui lone for the purpose of inspection. = 0 = v ('l <br /> OWNER'S SIGNATURE ­1 — a <br /> p MM 3 o cC s <br /> (date) <br /> ZONING ADMINISTRATOR <br /> da F1 <br /> OWNSHIP PERMITS MAY BE REQUIREDJUN 1 4 2013 = _ <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF IS CE �I <br /> BURNETT COUNTY <br /> ZONING <br />