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C � O <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> o � <br /> OWNER f r� f) hn TELEPHONE <br /> MAILING ADDRESSJ1 // / <br /> �< AC) L"4 0 Z1:A&S /�I'1 SSn3,R � <br /> PROPERTY ADDRESS / Vel-L <br /> //�� !�2D NeJ5iee- W,r -W71 O <br /> /7 pp l <br /> LEGAL DESCRIPTION C S <br /> OF PERMIT(S): SINGLE- AAMILY DWELLING ADDITION DECK GARAGE/ACCESSORY STRUCTURE / , <br /> BUNKHOUSE 59.692(1V)GAZEBO STAIRS FILLING/GRADING CAMPING UNIT W <br /> COMMERCIAL BUILDING COMMERCIAL ADDITION COMMERCIAL ACCESSORY STRUCTURE S' <br /> STRUCTURE/ADDITION USE:. 2- al C 01ALIQ al $ x 410o <br /> (Home/Cabin; Commercial Business; Bedroo ; Deck; etc.) <br /> BUILDING CONTRACTOR: nZAR W iAYl d (--O _8 <br /> n <br /> O � <br /> A PLAT PLAN MUST BE PROVIDED ON AN 8 W X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLA14 DRAWING: (ARIAL OR TOP VIEW) m a <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, O p a <br /> AND INDICATE NORTH (N). J N I z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDINGS) !� oo <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. C7 <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. " rn <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. i <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/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: UI r <br /> 1. DRIVEWAY MUST M ET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CU NG OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 7 <br /> 3. NO GRADING OR SORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. O <br /> 4. NO STRUCTURES, I CLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER U <br /> SETBACK AREA. V1 <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. L) i�)G� Sm�<. {J Q i hS w.�/S�✓ <t rN.,'�*'i <br /> 7. U " n o 0 o n a ro <br /> ' 313 � 9En:. <br /> I declare times this application(Including any accompanying schedule)has been examined by me and to the beast of my A „ $ <br /> knowledge and belief It Is true,correct and complete. I admowledge that[am responsible for the detail and aaamreq of all co R e. o, : y <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this .o E D c m m`Q <br /> Information I am providing will ble relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I 'V <br /> further accept all liability that may be a result of the County of Burnett relying on this information I am Providing In this <br /> aPPlkatlon. I agree to permit county officials charged with administrating county ordinances or other authortred Person to have <br /> access re the above-d�wtbed PjL� any bis time for the purpose of Ir<spectlon. ow 5 g�w 88 , <br /> (j <br /> w u <br /> /� � SySgo88y <br /> OWNER'S SIGNATURE �- n R'o_ o n n n O <br /> date <br /> ZONING ADMINISTRATOR <br /> y Sw' : snt� <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE N�» <br /> U U O O O O O <br />