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C O <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER / Da., Vo <br /> I k)a' TELEPHONE�O�12..72_ I'Z9/ O 1 <br /> (� IV l <br /> O <br /> MAILING ADDRESS -ROC�� A44 soh <br /> D l0 �V I <br /> PROPERTY ADDRESS o <br /> Jf 7 (j wl <br /> LEGAL DESCRIPTIONi n <br /> I� I I ' s <br /> l <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITIO ❑ DECK O GARAGE/ACCESSORY STRUCTURE v� <br /> BUNKHOUSE 59.692(1V)GAZEBO ❑ STAIRS 13FILLING/GRADING El CAMPING UNIT I] <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMI�ERCIAL ACCESSORY STRUCTURE ❑ <br /> STRUCTURE/ADDITION USE: �,n I S 1 0,C T II]IS�J — <br /> (Home/Cabin; Commercial <br /> usiness; Be ck etc.) <br /> � 7 <br /> BUILDING CONTRACTOR: f*rZ_ #4,44 0:7 R*&Lafk-L, LLQ <br /> L�mss ljo, Zoloito IS- c u <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 1/3 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C o O <br /> WILL BE RETURNED. .� <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <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, 'a <br /> AND INDICATE NORTH (N). O z <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 ' <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. l p <br /> 4. SHOW THE LOCATION OF THE WELL (W), SEPTIC TANK (ST) AND DRAINFIELD (DF), AND ALL DISTANCES <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 o <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. i ' <br /> .J <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. lb <br /> I <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n 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 STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY, J <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6' Conlevk,;r� cF "e BaE'6 1 giluw Aww fo fibs- pou.nn JwA A'iawi/.y DISE.(k w m 64 s'L4 �rY <br /> 7. Mth4 be daw W D r) n n D p 2 <br /> fi n A333a =n+ � <br /> r 3 3 E. = rz <br /> 1 declare that this application(including any accompanying schedule) has been examined by me and to the best of my <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of all <br /> information contained in this application(including any accompanying schedule)and I further declare that i recognize that this D <br /> information 1 am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a per I a„a= ; Y <br /> further accept all liability that may be a result of the County of ett relying on this information I am providing in this m <br /> application. I agree ,G <br /> [o pe it county officials cha d with a minist ing county ordinances or other authorized person to have <br /> access to the above-des rib premises at any reason a tirne for the urpose of inspection. m s9 4 <br /> rt a80..+ ,nQg � <br /> fB c d C <br /> OWNER'S SIGNATURE D a 2 <br /> m � <br /> (date) o c > > 3 n <br /> T9. v5 = � <br /> ZONING ADMINISTRATOR c n tr <br /> n <br /> TOWNSHIP PERMITS MAY BE REQUIRED a <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE w <br /> s � 8 � � o8 <br />