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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator Z <br /> APPLICATION FOR LAND USE PERMITS a (� <br /> a � <br /> N <br /> Q N <br /> OWNER /J TELEPHONEZTm 40e „�I <br /> ( J <br /> ?51a7 89Y 119973m J� <br /> MAILING ADDRESS Lam« 5-53e 4 <br /> L <br /> 11 _ <br /> PROPERTY ADDRESS yss� Lu>lrmah ”' 4h0 ✓ til S'�830 <br /> LEGAL DESCRIPTION // ! O <br /> 7'`/1 /y —,P/ t� SY �(a (E ,Sw/SS Tpu`.1'"+ <br /> SINGLE FAMILY DWELLING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ AIRS ❑ o <br /> TYPE OF PERMIi(S): 1F Cs, <br /> FILLING/GRADING LlCAMPING UNIT❑ BUNKHOUSE 0 59.692(1V)GAZE80 ❑ DECKA 4` <br /> ' <br /> STRUCTURE/ADDITION USE: /�YGf/c Z <br /> (Home/Cabin; Commercial Business, <br /> Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: f'Lw 1A YY,S 1�1 rt �) IT'NL J�JfLI Jb"ft1 A- e- <br /> Clea e- La Te 0--i:- 5L}Dos- <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'k X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. p <br /> 77 < <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) p <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. d <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB) AND ALL NEW 9 <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, m <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S) TO ALL LOT LINES, (B) BUILDINGS) n <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK ,� <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. N <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST) AND DRAINFIELD (DF), AND ALL DISTANCES a o <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. O (1, <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THEs <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. ,52 U <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN 7F, <br /> NEEDED. Q1 Q) <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. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. 1 <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. O <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. a <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> � a�moaro <br /> 7. g R O aye <br /> w <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my knowledge <br /> and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all information a 9 <br /> contained in this application(including any accompanying schedule)and I further declare that I recognize that this Information I 2; ", <br /> am providing will be relled upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I further accept all <br /> liability that may be a result of the County of Burnett relying on this Information I am providing In this application. I agree to 7 47 o o <br /> permit court/officials charged with administrating county ordinances or other authorized person to have access to the above- B <br /> described premises at any reasonable time for a purpose of Inspection. m J y s �? y <br /> OWNER'S SIGNATURE MZ �S O�f <br /> (daM) to N N d Vo' <br /> ZONING ADMINISTRATOR <br /> A 'o' <br /> TOWNSHIP PERMITS MAY BE REQUIRED ^ r <br /> THiC PFRMTT CN41 1 FXDTRF f1NF VFAR FR(1M r1AT'F f1F TCCI IANr"F <br /> EZ��}'l��i �2G� -�, Ca�'u�l.�l') bCx'�,�Ir� d-Sfi'Uc�L,vPS ��nlwY�r=lfGd <br />