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4 <br /> n v Z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a <br /> APPLICATION FOR LAND USE PERMITS7i ch <br /> U7ay <br /> TELEPH019-� 51 1J -76 Y& <br /> OWNER Sco"TC I�ENIIt HtCF)A(tt, �<OEN(CT /b/« l <br /> MAILING ADDRESS �cr{y sT list S I rI 110&-TTLfx-, MA) <br /> PROPERTY ADDRESS �A1rl£2VA DAWt. <br /> LEGAL DESCRIPTION o t <br /> ki %a of NW4 5tct(or 3 Lit N , i2ANCr1= \&ys favW <br /> ¢ ert CoL).TY <br /> TYPE OF PERMIT(S): SINGLE FAMILY OWELLINGX ADDITION C DECK C GARAGE/ACCESSORY STRUCTURE C <br /> BUNKHOUSE C 59.692(1V)GAZEBO C STAIRS C FILLING/GRADING C CAMPING UNIT ❑ �. <br /> COMMERCIAL BUILDING C COMMERCIAL ADDITION C COMMERCIAL ACCESSORY STRUCTURE ❑ o — <br /> STRUCTURE/ADDITION USE: l�/+fi1fJ Z <br /> o <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) � rS <br /> BUILDING CONTRACTOR: Lc- L, f- CC EIA C,O YT T Uj <br /> uAJk-aI n/Scii • ►1o4pns C- i V-AIN&I, Ofa� o �Uo <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. <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. w n <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB) AND ALL NEW <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). N Z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B) BUILDING(S) <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. O O <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST) AND DRAINFIELD (DF),AND ALL DISTANCES <br /> 30 <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. ✓ <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE g <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. 3 -C <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. B <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. y <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. <br /> NOT TO BE USED FOR HUMAN HABITATION. //,,,,-///``G// <br /> 6. � ( SQ�A�Vv`f <br /> s <br /> 7. � Do 0 0 man t�s7 <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my g o'2 B <br /> knowledge and belief it Is We,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all L m d <br /> information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this c. > cSE <br /> ti <br /> information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I ?oo b <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing in this <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have <br /> access to the above-described premises any reasonable time for the purpose of inspection. m w ii o w "�' o a <br /> y <br /> 3 s7 000go � <br /> OWNER'S SIGNATURE r S/ <br /> (date) <br /> 0 <br /> � �a� �3 � � 2 <br /> Oe. <br /> ZONING ADMINISTRAEi <br /> TOR -� O� c F a <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE p N o N U <br /> pole- O/1,61)/ / <br />