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b z <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER Gprla Warner TELEPHONE (oy) - 2y8- 23)3 = a <br /> R <br /> MAILING ADDRESS 41-1 Prese-e vr- Cour} ola MN 5511-7 � R <br /> , L.14+1e: (tenr <br /> PROPERTY ADDRESS <br /> 27147 �ohn Saone I?ood Web,aer , WT. 54893 Dn <br /> LEGAL DESCRIPTION S' <br /> Cowls i. ke �ofe r��jM V7_ PSN GL 2r1 4c 3 "c)nl P&W <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ADDITION ❑ DECK❑ GARAGE/ACCESSORY STRUCTURE❑ <br /> I <br /> BUNKHOUSE❑ 59.692(1V)GAZEBO❑ STAIRS❑ FILLING/GRADING 0 CAMPING UNIT❑ <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDITON ❑ COMMERCIAL ACCESSORY STRUCTURE❑ <br /> STRUCTURE/ADDITION USE: Horne f�b'A a <br /> (Home/Cabin; Commerdel Business; Bedroom; Deck; etc.) �) '(1) <br /> BUILDING CONTRACTOR: Lan - )9orlie /'1lifler 210-3166- Holy� O <br /> 1381'7 Coutjj Boaz( 34p , C►nS51alec. ON p 3 <br /> A PLOT PLAN MUST BE PROVIDED ON AN B Vi X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C�I <br /> WILL BE RETURNED. 7 <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARTAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C S <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW Eon 9 <br /> BUILDINGS/STRUCIURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, d •o <br /> AND INDICATE NORTH(N). V e <br /> 3. SHOW DIMENSIONS IN FEET OFTHE FOLLOWING: (A)BUILDINGS)TO ALL LOT LINES,(B)BUILDINGS) o V G <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK Oa w' , <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. p <br /> 4. SHOW THE LOCATION OFTHE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES <br /> TO BUILDINGS,.ROADS,LAKE,LOT LINES. W a m <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> S. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE GJ n <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 /> a <br /> NEEDED. - '/ , d <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. A <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 /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6, d <br /> 7. <br /> 33 3 - <br /> I dedare that this application(Including any accompanying schedule)has been examined by me and to the best of my o Pa PLT, a ?+ <br /> knowledge and belief It Is true,cone[[and complete. I admawledge that I am responsible for the detail and accuracy of all <br /> Information contained In this application(Indudhlg any accompanying schedule)and I further declare that I recognize that this a E a a m <br /> 6�{ <br /> Information I am providing velli be rolled upon by the(Canty of Burnett Wisconsin In determining whether m issue a permit I �„5; � .g <br /> further accept eg liability that may be a result of the.Caun f Burnett relying on this Infonnatlon I am providing In this I Nis? il q� <br /> :Cc= <br /> t agree N perm arty olgdata arged w Inlstratlng caunty ordinances;ar other aulho zed person m have o Q 8 <br /> etxesc m the above-decal d' ran tan r le for the purpose of Inspection. to <br /> S8 ....tt <br /> �in y Q�� <br /> OWNER'S SIGNATII ( ate) i;w `m9 R y-z <br /> ZONING ADMINISTRATOR 1 . p[ 8Fq t�,1 <br /> OWNSHIP PERMITS AY BE REQUIRED i <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE o S <br />