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06/14/2007 10:34 3492166 B C ZONING PAGE 10 <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning AdminIMtor 0 v <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER �C�ICi �A TELEPHONE 763—SPI-O�Ri2. (W) R <br /> MAILING ADDRESS .2 /' /�• �J <br /> O a v l.. i O <br /> 7S�Z L ti &tio �a1��S?t*h 2 <br /> PROPERTY ADDRESS A <br /> LEGAL DESCRIFTIONN � �[ S3z Tlld 1J 1[ W " <br /> w / `d 6 ,fir Wl <br /> SINGLE FAMILY DWELLINGS GARAGE/ACCESSORY STRUCTURE ❑ ADDITION O S1 AIRS ❑ <br /> TYPE OF PERMIT(S): ,s <br /> FILLING/GRADING❑ CA14PING U O BUNKHO)y�Js$``E ❑ 59.692(1V)GA2E80 p CK(�Q <br /> STRUCTURE/ADDITION USE: � N / ?Q G(f�N J I1QAj_f <br /> (Home/Cabin; Commercial Business; Bedroll ; Deck, etc.) <br /> BUILDING CONTRACTOR: £ 4 I ' �Co 1 <br /> F Lb 01 cric ^(S-c4-3-w2. <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Va X11 SHEET OF PAPER. ANY WCOM NS rnn <br /> WILL BE RETURNED. O� <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARTAL.OR TOP EW) QAIdi re`f"6d p C. i a o w <br /> Ta Makh 7*tr ANA bob SIc'N <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO 8 OWN OR DRAWN TO SCALE, + a <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUI EB AND C I ft <br /> BUILDINGS/STRUICTUReS(NB),INCLUDING DECKS, PORCHES AND OTHER S, Fa W v <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) SUILDINGCS)TO ALL LOT LINES,(B) BUI ING(S) S <br /> TO CENTERLINE OF ROAD,(C) BUILDING MEASUREMENTS)TO THE ORDINARY HIGH WATER MAF K 9 <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. 1 Lv y <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES °3 <br /> TO BUILDINGS,ROADS, LAKE,LOT LINES. -i c> <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLA14MED AND SHOW AREAS TO BE GRADED OR FILLED. e <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE P P <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> •i <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> 1 i <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 3. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. x cs� <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. C <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATE ' <br /> SETBACK AREA, <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAG ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. £ <br /> 7. <br /> �I m koro <br /> I declsm am this a licatlon I E P" <br /> and De1M tt k PD (Including am atmmpanYn4 sthedlda)has been aWminad by me and to du best of my know Logo ,x y 5 a <br /> m+b dorreR and complete, I aclvgaAadpe that I am reeponibk for the detail and acmuracy of all Inibrmatle e _ s <br /> eentalned In this application(Including any a®mPnryinp schedule)end I !r da fare that I racapnin that this Inform I <br /> am prarldtn9 wall N relled upon by the Coelhty of aurlllR snaC0115au k Innq trhethar t0 te&h@ a permit. I further ad apt all y <br /> liability that may be a result of ma Cahhnq of eu on this tam proyldlnp k cies application. z agree O <br /> permit auney o1Rrlak charged wtah aaminktrsttno MY or eothorlaed <br /> drotbad premise 15 any reasonable time Lor the or person to have auSLlas m dhe $ <br /> P ? �� <br /> OWNERS SIGNATU " 1. r� Z <br /> Y' R <br /> ZONING ADMINISTRATOR i' ' I � <br /> S <br /> TOWNSHIP PERMITS MAY BE REQUIRED ` <br /> THIS PERMIT SMALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE ;„" <br />