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Burnett County 7410 County ROW K, No. 102, Simi,WI 54872 Ofte of ZonhV Administrator <br /> APPLICATION FOR LAND USE PERMITS : <br /> TELEPHONE S _ <br /> OWNER�Y���M(l'(�V� � \ \\Y��.� \ • 1(JY1 —��5—y &5—. 39 �l � g � <br /> MAILING ADDRESS <br /> PROPERTY <br /> ADDRESS 1 oZ I y N �eCCe c�. L.y�1C,E �2t..'p,- (•� r0.vt-4S`quY'e�WZ,�-1�4(� l <br /> LEGAL DESCRIPTION <br /> TYPE OF P9a4T(S): SINGLE-FAMAY DWELLING ADDITION D DECK❑ GARAGE/ACCESSORY STRUCTURE❑ w <br /> BUNKHOUSE ❑ S9.692(IV)GAZEBO❑ STAIRS O FILLING/GRADING❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE❑ <br /> STRUCTURE/ADDITION USE: Q- <br /> (Homs/Cabin; Commercial Business; Bedroom; Dedc;etc.) <br /> BUILDING CONTRACTOR: `. <br /> O � <br /> A PLOT PLAN MUST BE PROVIDED ON AN a%%11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS P7 -0 <br /> WILL BE RETURNED. YY1� <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) ee <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C .. <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, CT, <br /> AND INDICATE NORTH (N). v e <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) o <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. 57 i <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIE D(DF),AND ALL DISTANCES <br /> TO BUILDINGS,ROADS, LAKE, LOT LINES. <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. d 3 <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARaWECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE o <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER /73 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY 6E DONE WHEN � y <br /> NEEDED. W <br /> THIS PERMIT Is SUBJECT TO ALL CONDITIONS LISTED BELOW: W <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. �' n x <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORE AND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. O 7n <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE ITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. d <br /> NOT TO BE USED FOR HUMAN HABITATION. C� <br /> 6. F <br /> 7. ° o <br /> Nedratint ties appkodon(YrJWh7 any aomLLPeLMh➢>L�L�has been by mp ^ , i <br /> knowledge and bent a Le tnp mrMrt and cc N,. IaWgwkYpp that I am nyrabl trtheddand��dr <br /> Ydbmation m,taYrd lathb apppcatb,t(ircbdbq any atrootirybq mMI sdteduls)wM I anther dedra thea I Leoopiee that 00 s <br /> t�bmelM p <br /> I am aAdYq we be caned upon by the Cbnty d 9=WYIn delrLLro- whrhr so Lara s Pam. I <br /> ful"lar �y <br /> aonept all YbRY that may be a neap of thethis _ Ld <br /> Dudy d 9a11e1R layblp m UIY btOtllaor o I am dwrle l pe o <br /> appfcatbtt. [apnea b pemdt eRklala dr,gad wRh etdbrtoss a otlrraldinrbad Arson to 11aYe <br /> soosv b theat any for the w d awpowb 6 S Y�j <br /> ,77 <br /> OWNERS SIGN► ;j�jL. <br /> ZONING ADMINISTRATOR <br /> Gia � y <br /> �d <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE 8 <br />