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ON COMPUTER/SCANNED <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS 2i <br /> N <br /> 5 <br /> O <br /> OWNER Kevin Wayne Bluhm TELEPHONE 715-425-5113 <br /> 65/- 2F0- S 2'!7 - WOE wv <br /> MAILING ADDRESS 1109 Pine Ridge Dr. R/UE2 5 AZ I-S Vv/ 5yOZ Z a .�- <br /> 0 <br /> 0 <br /> < y <br /> PROPERTY ADDRESS Lot 3 Dushane Drive, 0 ! . <br /> Go�fi L��s S.r6_ Sec. / 7, Tw.) 'oW. Tl�sE /`//n/, C7 <br /> LEGAL DESCRIPTION LOT .3 7 :2 . y�AG T ,7 O-F' Yco7r <br /> DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE 0 ADDITION 0 STAIRS 0 <br /> TYPE OF PERMIT(S): �- <br /> FILLING/GRADING 0 CAMPING UNIT 0 BUNKHOUSE 0 59.692(1V)GAZEBO 0 DECK 0 n 3 <br /> STRUCTURE/ADDITION USE: Cabin Garage N/7T Y <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) o ° <br /> BUILDING CONTRACTOR:_Self J O <br /> s � � <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'/z X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS Yy (Il <br /> WILL BE RETURNED. C / O0 I^ <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) on Sl '-1}�,," - <br /> g a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW Q m <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) -� m <br /> TO CENTERLINE OF ROAD, (C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK O a <br /> (OHWM)OF LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. 'z , <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES o <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. \ O <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. n o <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR, ETC.,THE <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. c <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: $' �. 1 <br /> d O <br /> a <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n 4° R) <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. „L <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. C r <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER eSETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> > d <br /> 7. g rr°i R v 'n m ls7 <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my knowledge B 'z C "' <br /> and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all information o ? <br /> contained in this application(including any accompanying schedule)and I further declare that I recognize that this information I ,'�< i,., > <br /> am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I further accept all N c w o 'C <br /> tl <br /> liability that may be a result of the County of Burnett relying on this information I am providing in this application. I agree to permit <br /> county officials charged with administrating county ordinances or other authorized person to have access to the above-described S (,�� () <br /> premises at any reasonable time for the purpose of inspection. r,_��� ,iC— f� C)rn s _ a <br /> ( tJ.. <br /> 5 � 'SR <br /> R c <br /> SIGN HERE /'�"' `. � l i n '7 <br /> (signature of owner of Euilding contractor) (date) e S 6 'j <br /> (,I/� <br /> ZONING ADMINISTRATOR I lop( APR : 2006 <br /> A <br /> TOWNSHIP PERMITS MAY BE REQUIRED BURNETT COUNTY <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUAQUNG <br />