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O <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS N' <br /> OWNER Loi//S" A - TELEPHONEa ,a <br /> /(,)/ 1,e /a BST 7/-5- 749- 3`'1ys p <br /> MAIt3NG ADDRESS 950 /079 AIE-, );Q95E�775W1 L4023 <br /> PROPERTY ADDRESS 27797 YELLO VV LA ASE /;�l) \n/EB-`-'T5 Y/ <br /> LEGA DES RIPTION o <br /> _C(;o LoT 3, sFt. 25 . T4�n/, R r7VV U.Vio�i i�wn/st/r/� ^ <br /> TYPE 0FPERMTT(S): SINGLE-FAMILY DWEL NG 0 ADDITION 0 DECK ■ GARAGE/ACCESSORY STRUCTURE 0 <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 V� <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE 0 c <br /> 10 <br /> STRUCTURE/ADDITION USE: <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) �/ <br /> BUILDING CONTRACTOR: ILLS 5 L/CT/ON ^ G✓G CT/ ,'?DC `S <br /> LDAnNBL//2Y , WI 54030 - .JOL)E /cCK o <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 rh X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PIANS o <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) I+f o <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. ^ R <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, o <br /> AND INDICATE NORTH (N). N c <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK w5' <br /> (OHWM) OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. ty <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES 5. <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. m ,� <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 o <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTURELOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. N <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n <br /> z S W <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. <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER I ` c- <br /> SETBACK AREA. II�J a <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. f <br /> 6. <br /> R n " 3 3 B o P1 <br /> 1 declare that this application(Including any accompanying schedule)has been examined by me and to the best of my o e <br /> knowledge and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all o, W E E E:m .•3 <br /> Information contained In this application(including any accompanying schedule)and I further declare that I recognize that this m c > >m N <br /> Information I am providing will be relied u <br /> Pro m9 Dolt by the County of Bumett Wisconsin k determining whether v issue a permit. t <br /> further accept all liability that may be a result nf The County nf flumatt relying on this information 1 am providing In this <br /> application. 1 agree to permit county officials charged with administrating county ordinances or other authorized person to have .� g <br /> access to the above-desodbed lees at any reason bk time for purpose of I n. E g w N� A <br /> o� p <br /> r Fj -Tf y > O g O S O � <br /> OWNER'S SIGNATURE '� 'Jp. at r ,v V = 0 <br /> � tnao: <br /> (date) o <br /> ZONING ADMINI T R <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE N «= <br />