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T <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator ' <br /> APPLICATION <br /> yyFOR <br /> /LAND USE PERMITS <br /> OWNER (/P /jIUMMZA4': . &F%d Adf(I�, 'TEILEPHONNE <br /> g <br /> MAILING <br /> MAILING ADDRESS S q/ Devil( Lk KC4. We(tire/`/ J _OlC/L0��86�J (1L11 <br /> 57(7/ <br /> q II nA <br /> PROPERTY ADDRESS V 99I Devi/S Lk RG ) <br /> LEGAL DESCRIPTION luwyv Ii 'F:5Yy E" LA, el IZJ �n <br /> TYPE OF PERMITfli SINGLE-FAMILY DWELLING 0 ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTU 5 <br /> BUNKHOUSE 0 59.692(lV)GATEBO 0 STAIRS 0 FILUNG/GRADING 0 CAMPING UNITCI . <br /> COMMERCIAL BUILDING 0 CDMMERC AL ADnDITION 0 COMMERCIAL ACCESSORY STRUCTURE 0 <br /> STRUCTURFJADDITION USE: <br /> (HonIE/fddUIU .�Q ' <br /> 0 n:CmmMdal Business;Bedroom;Detic,ek.) <br /> BUILDING CONTRACTOR: <br /> >o c <br /> A PLOT PLAN MUST BE PROVIDED ON AN B Va X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. w <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) C <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. In p� <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, y <br /> AND INDICATE NORTH(N). ��tlSS c <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDINGS)TO ALL LOT LINES,(B)BUILDINGS) w <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK p <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. O <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES y <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 PIANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR,ETC.,THE <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. 1 L� <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: . �lJ? <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. 0 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. <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCIURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. F <br /> 6. Mon np gee <br /> g A <br /> M11 8 °- 1. 3 <br /> I declare that this application it is tru (including any accompanying I ng schedule)has been responsible <br /> by r t and to Me d ac u my 3 e <br /> knowledgea ontaiod ra i in this a correctand(including <br /> yaccompa yangige schedule) <br /> ule)and I further [dare the hat <br /> tI recoraq that <br /> m_c� <br /> ai <br /> information contained in this apPliration(intlutlinq any accompanying uhedule)andl further declare Matl recognize Mat Nb j�jm ! <br /> information I am providing will be¢lied upon by Me county of Burnett Wisconsin in determining whether to issue a Permit. I <br /> further accept all liability Mat may be a result of the County of Burnett relying on this information I am pro 'ding in is <br /> application. I agree to permit countyo16cials charged with administrating county ordinances bray all. ionic personto ^ C) $ I. <br /> haw access to the above-des[ribedpremise aIt any reasons ble tim�r thrrmpseofinspection. « v5 a <br /> OWNER'S SIGNATURE 'l I y/ �l 3M v g 8 8 <br /> (date) <br /> ZONING ADMINISTRATOR Simg <br /> a. <br /> OWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF iSSgWWWTT COUNTY a <br /> ZONING = ` «eg <br /> uU "sea <br />