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Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator _ <br /> APPLICATION FOR LAND USE PERMITS n <br /> _ 9J <br /> OWNER LtIr L `7S �Y� E X 5 .327 -5 1/ a <br /> �1 ✓Inv 7r E Sle <br /> MAILING ADDRESS OC� / ,_ �� ' n <br /> PROPERTY ADDRESS d0. . lam' <br /> LEGAL DESCRIPTION O l P <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING 0 ADDITION 0 DECK❑ GARAGE/ACCESSORY STRUCTURE❑ L. <br /> BUNKHOUSE 0 59.6920V)GAZEBO❑ STAIRS 0 FILLING/GRADING 0 CAMPING UNIT <br /> COMMERCIAL BUILDING O COMMERCIAL ADDITION C COMMERCIAL ACCESSORY STRUCTURE❑ e <br /> STRUCTURE/ADDITION USE: <br /> F�wn CkLr. <br /> —.yJ ' l (Home/Cabin;Comme tial Busi//ness; Bedroom; Deck;etc.) <br /> BUILDING CONTRACTOR: I IU W�L� �S Q(0,7.51�.1 = <br /> v 3 <br /> z _ <br /> AP LOT PLAN MUST BE PROVIDED ON AN 8 V.X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C <br /> WILL BE RETURNED. qtl Y�s��� � r � <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) I 0 c _ <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. - <br /> 2. SHOW THE LOCATION AND SIZE OF ALL BUSTING BUILDINGS/STRUCTURES(EB)AND ALL NEW JG <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). i <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDINGS)TO ALL LOT LINES,(B)BUILDINGS) <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK I _ <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS, <br /> 9. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES <br /> TO BUILDINGS,ROADS, LAKE, LOT LINES. ��1 <br /> 5. INDICATE If A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. U <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR, ETC.,THE s <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. k(t <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED$0 AN ONSITE VERIFICATIONMYBE DONE WHEN <br /> NEEDED. VVI LI <br /> I` 1 <br /> THIS PERMIT IS SUB]ECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CURING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. L <br /> 9. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. TVi <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STO E ONLY. <br /> NOT TO B USED FOR UMAN HABITATIp N. // E <br /> 6. mu_4 Pi f �Lcl.li.77W_ C�orc � ln�� <br /> 7. SLL6r� 7o Ubc az. ,amrn�Yr -� (303AC owrd� z > : - <br /> n 3 5 3 _ - <br /> Ideclarethatthisapplication(including any accompanying schedule)has been examined by me and to Me best of my F 3 e ' ' _ - <br /> 3 ? a3. R.0. <br /> knowledge and belief ifisfive,correctand complete. I acknowledge Mateam)andI further declare <br /> ecdetail and accuracy tof han = <br /> information contained inthis applice[ion(indWingany accompanying scAetlule)andlforther tledare[M1af lreCOgnize that this _ = > cp,, <br /> information I am providing will be relied upon by Me County of Burnett Wisconsin in determining whether to issue a permit. I _ - <br /> further accept all liability Mat may b r a result of Me County of Burnett relying on this information I am providing in Mi. - <br /> aPplication. Tagreempermit un ry officalschargetl wiM administrating county ordinances or other authorized Person to g! j <br /> haveaccessto Meabove-de ri edpremise at any reasongiIii,tt-mee forthepurpose of inspection. j e <br /> OWNER'S SIGNATURE z0( 3 ? 6 5 R S <br /> (dare) v, c- <br /> ZONING ADMINISTRATOR / / ' : a <br /> T <br /> NSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE a — <br /> uU8 . o = , <br />