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Burnett County 7410 County Road K, No. 101, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS = L <br /> n� To <br /> OWNER U 1 TELEPHONE O /1'1 cI n s//`,civ✓` G,ta - -710 -syao <br /> MAILING ADDRESS <br /> -/J�i �� <br /> rl <br /> PROPERTY ADDRESS <br /> 30 / ? 3 AlIAlgrCd4-- 1j'4I Xo. .A.D <br /> LEGAL DESCRIPTION £t ,fsi S'D ' O`— Lor .a2� d' wETT3S / Lor �3 <br /> .J/ AL,VSL,1S Q!✓+¢CVit'w C�9sGt 'TwSF' "��/✓ /'PAN6 <br /> TYPE OF PERMrt(B): SINGLE-FAMILY DWELLING 0 ADDITION DECK 0 GGA/ACCESSORY STRUCTURE ❑ <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ OF n 3 <br /> STRUCTURE/ADDITION USE: C.�'.t/>✓/T/JD/i/off -- 410WVn M-S <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> — <br /> BUILDING CONTRACTOR <br /> r 3 <br /> A PLOT PIAN MUST BE PROVIDED ON AN 8 Yl X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) j <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. - _ — <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW ^'i <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, J �1 <br /> AND INDICATE NORTH (N). g <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 W l <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS, AND(D) LOT DIMENSIONS. <br /> 4.. SHOW THE LOCATION OF THE WELL(W),SEPFIC TANK(ST)AND DRAINFIELO(DF), AND ALL DISTANCES 5 W <br /> TO BUILDINGS,ROAO LAKE, LOT LINES. - ' <br /> 5. INDICATE IF A WALKOUT BASEMENT PUNNED AND SHOW AREAS TOGRADED FILLED. <br /> 6. IF SEPARATE BEANBY ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. � 3 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN (w y d <br /> NEEDED. I(—t�fpp— <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: — <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. U.1 <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. _A F <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 d <br /> •— SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. S <br /> 6. <br /> T zgl � nr.npac — <br /> ' <br /> 2 <br /> 1 declare Mat this application(Including any actampanying schedule)has been esamined by me and M Me beat of my <br /> knowledge and paid It Is[rue,correct and complete. 1 aemoMegge that 1 am napweable for Me detail and acomeov of all — <br /> Inlmmew ..[aimed in the application(Including any accompanying schedule)and 1 further declare that 1 recognize Met thus <br /> Irdomiabon 1 am providing will be relied upon by Me County of Bumett Wisconsin M determining wbemer to Issue a permg. I >� S <br /> Nrther a¢ep[all IlaNliry that may be a result M Me County of Bumett retying on this IMormatlon I am providing In this , 'N . M:e" n-- C <br /> application. 1 agree to Dermlt county oaklals charged wAh administrating Money oMinancsa or other authoHud person to have ^ - .j —" S <br /> accass M Me aWve-desoibod premises at any reasonable bme for Me puryose inapeedon. $ r <br /> w (y <br /> ////3 aq `oog �s� <br /> OWNER'S SIGNATURE�� G 1-7 = " ^ <br /> (date) n w n 6 c I, z <br /> ZONING ADMINISTRAT00. on <br /> 5 E i R: <br /> TOWNSHIP PERMITS MAY BE REQUIRED �VMw <br /> THIS PERMrr SHALL EXPIRE ONE YEAR FROM DATE OF ISSU JUN 18 2013 u'8= o R <br /> B{{iLLLLLL;;URNETT COUNTY <br /> ZONING <br />