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L T <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 �M{ f [TSC NOMI TELEPHONE SSL- 367 - 7X35 .� <br /> MAILING ADDRESS &0 <br /> rfFS 2S SE 47< to Mn SS313 s <br /> PROPERTY ADDRESS -7 S4. S. N 94 SS /G I(.I rd. <br /> , WL 1'1993 <br /> LEGAL DESCRIPTION /4rf 1l . DI/ " 3320- OZ -L 00 - r <br /> �l\ <br /> T <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING 0 ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE Q/ _ <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE❑ - <br /> Z <br /> STRUCTURE/ADDITION USE: &aro(,o- <br /> (Home/Cabin; Commercial Business; Bedroom; Deck;etc) <br /> BUILDING CONTRACTOR: -- �I-"/�T' - <br /> o <br /> A <br /> A PLOT PLAN MUST BE PROVIDED ON AN B+/2 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS r <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1, ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. r _ <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW p <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, �I <br /> AND INDICATE NORTH(N). o �Z <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 <br /> (OHWM)OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS— <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPIIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES F,�v { <br /> TO BUILDINGS,ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT 15 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 50 AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. - <br /> I <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: -� <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. Z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. C, z <br /> 3. NO GRADING OR SHORELAND.ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. L <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. ll <br /> NOT TO BE USED FOR HUMAN HABITATION. g <br /> 6. <br /> ^ per ' <br /> I declare that this application schedule)has been examined and the best of F e - _F. _ J <br /> pp and complete. <br /> acknowledge <br /> by an y 3 3 <br /> informatiwledgeon <br /> and contained <br /> it in this applicettan(icoudingany. I accompaying sctlam)andI inter thearethtIrecognizecuracy that this <br /> - <br /> informationIamprotldigwill ecalon upobythe County of Burned <br /> Wisconsin in determining <br /> declare isue aermitI - 9 _ <br /> information I am providing t will abecalled!upon by the County of Burnett Wying o n in determining wam pr to issue a permit ] _ = S <br /> further accept all liability that maybes result ofthewithadministrating <br /> l Burnettingcunty ordinances ro]arauthodinq in _ <br /> have <br /> application. Ia he drove-described <br /> premisesa Charged reasonable <br /> timer For the purpose of inresor other authorized person to _ <br /> have 2Cce5.5t6Meabove-tlestribed premisesa[anyreasonable time For purpose ofinspeRion. <br /> OWNER'S SIGNATURE <br /> (date) p m > 2 ca <br /> ZONING ADMINISTRATOR_ <br /> CT <br /> TOWNSHIP PERMITS MAY BE REQUIRED 31URNETi COUNTY <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE ZONINCa - - _ <br />