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Burnett County 7410 County Road K, No. 102, Sken, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> S � �c <br /> OWNER tuTELEPHONE <br /> 7�Ln ��lln pp � y, <br /> MAILING ADDRESS � /� mye/)yood �f�• &&xsi/rl Le <br /> PROPERTY ADDRESS a 0 5&6 E 'fe DLJ ict Uee 12oL o fi <br /> G <br /> LEGAL DESCRIPTION <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING DECK❑ GARAGE/ACCESSORY STRUCTURE O ?t'T <br /> BUNKHOUSE O 59.692(IV)GAZEBO Cl STAIRS❑ FILLING/GRADING ❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING C) FOMMERCIALADDMONCI COMMERCIAL ACCESSORY STRUCTURE ❑ D r <br /> S <br /> STRUCTURE/ADDITION USE: e 6 <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) O <br /> BUILDING CONTRACTOR: W Cx/Q <br /> n <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8%X11 SHEET OF PAPE(L ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS g 8 <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) n <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. c GR-) <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW o <br /> BUILDINGS/STRUCTURES(NO),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, a CEJ <br /> AND INDICATE NORTH(N). y 1 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BVILDING(S)TO ALL LOT LINES,(B) BUILDING(S) I P SU <br /> TO CENTERLINE OF ROAD,(C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK S. <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. Cy <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES '� <br /> TO BUILDINGS, ROADS,LAKE, LOT LINES. rn 1 <br /> G o <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. i <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. Pd O <br /> NOTE: BVILDINWSTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. p v 1 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: r (J) <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. xO d 1 <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION.IS RESTRICTED ALONG SHORELINE. y C I <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 <br /> SETBACK AREA. a: W <br /> 5. ACCESSORY STRUCTUREIGARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY, w <br /> NOT TO BE USED FOR HUMAN HABITATION. \ <br /> 6. <br /> 7. 2esnn�n�g� � <br /> I dedowe that this application(Including any ocmmpen*V ad***)has been examined by me and to the bast of my as <br /> W*wledpe and belief K Is trus,correct and complete. I acknowledge that I ern esp a for the MAN and accuracy of all - e k <br /> I fte athon owned In this application Onoudmp am/accompa ro"a I We)and I hather dodo that i reoopr*e that Oft <br /> ln"W m I am ProOldlnp WIN be roiled UPOn by the county or Burnett WlscaMn in dKamhang whether to bares a permit. I $f 5 « ««b <br /> hxThr accept al sablity that Barratt may be a r"A of elle Downy of retying On this Irdarmation I am proyiding In this r I r <br /> application. 1 agree t0 Dermic I Well rig m ntv ordinances r oder authorized person to have <br /> amw to the atnove-deenzihad an K arty fr the punyme ef tiasemon. ^ a 8 y <br /> OWNERS SIGNATU <br /> (daft) ' s. g.g <br /> ZONING ADMINISTRATOR <br /> TOWNSH P PERMITS MAY QUIRED <br /> THIS PERMIT SMALL EXPIRE ONE YEARORM <br /> QM DATE OF ISSUANCE N -68 <br /> `�mrt �1�-fFe/�Oic�du� b� m7hOrn $-lb-/� <br />