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'L <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS = <br /> OWNER ' Q� S�� �f✓G� /] �TE/LE�P�HO�NA y�O (� 7�q. � //lwTN THM1 Y/j keeP <br /> MAILING ADDRESS <br /> J <br /> PROPERTY ADDRESS )_90G7y�YOL/_ kyCY A14 Or �j/,✓6✓/'y I,�Z s7�j0 ^ a <br /> n /� � Z <br /> LEGAL DESCRIPTION & P v A ,(/• O S 1-17— <br /> TYPE <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK ❑ GARAGE/ACCESSORY STRUCTURE <br /> BUNKHOUSE)Y 59.692(1V)GAZEBO E STAIRS E FILLING/GRADING E CAMPING UNIT E ,j <br /> COMMERCIAL BUILDING E COMMERCIAL ADDITION E COMMERCIAL ACCESSORY STRUCTURE E n <br /> STRUCTURE/ADDITION USE: 6n) (� (J IST <br /> (Home/Cabin; Commercial Business; ed roam; Deck; etc.) N „ <br /> BUILDING CONTRACTOR: L-ll <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PIANS <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) Ir- <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 (ES)AND ALL NEW r /n <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) IO <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. ^ <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST) AND DRAINFIELO (DF), AND ALL DISTANCES i r <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 <br /> PIANS 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 /> NEEDED. I ) <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. m <br /> 3._ NO GRADING OftNALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> INCLUDING <br /> 4. NO STRUCTURES, INCLUDINGG RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. IN Ij`\ <br /> S. ACCESSORY SED FOR HUMAN HA PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. s <br /> 6. <br /> 1 declare Nan His application(including any complete. <br /> I ng schedule)has peen examined me e o to Me Bert ur my o E <br /> knowledge and belief It Is true,coett and complete. I admoparyin Mat 1 am responsible lible for ed detail and aconite of all - - - <br /> Information I am lnedproviding <br /> In this applicationled(Including any County <br /> of nyine schedule)and t further ng whether <br /> her I Issue p Nat. Is g, > > = N <br /> Information I am provlEing will a rbe a upon by Me County pf Burnett Wisconsin In determining I am pr to Issue a permit. I e - - - <br /> further attepf all IIap11Ry Mat may be a real[of Me County of Bpm relying on Ml Information I r providing p MIs '_^u <br /> application. L agree to permit eoun dals charged with admini rating county ordlnances or aNer auNoHxetl person to have _ - : R " ' x <br /> access to the above-described pr lses a any asonable time fo Me purpose o/Inspection. = _ g!+ <br /> OWNER'S SIGNATURE <br /> ZONING ADMINISTRATOR 2,4 <br /> APR 4 2013n — <br /> TOWNSHIP PE ITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISS'M NETT COON _ Z - - <br /> ZONING <br />