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<br /> Burnett County 7410 County Road K No. 102, Siren, WI 54872 Office of Zeninq Adminis ratof: a
<br /> APPLICATION FOR LAND USE PERMITS
<br /> Dwnm H/omAs A EL TNR t) EL"HONE
<br /> MAIUNG AODRESSI, pp 115T"AJE n/
<br /> I�
<br /> PROPERTY A
<br /> //53 CR25nilSPOt�NEr2 W I 5�, D� s �
<br /> IlBiA1.06GPIPiI°"S /-3 yoN QIyL.J a,Qy N9CQCS g K�U
<br /> TYPE Or VERMIT(S): SINGLE-FAMILY DWELLING 13 ADDITION❑ DECK ❑ GARAGEIACCESSORY STRUCTURE JI
<br /> BLTKHOUSE O 59.69I(IV)GA2FEO❑ STAIRS❑ RUING/GRADING❑ CAMPING UNIT❑ 11LJ
<br /> COMMERCIAL BUILDING C COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE❑ z
<br /> MUCTUREIADDT7, USE/OX///SC.RECfJE:D IN ibRCN 7jA1IL3r"0(0"Ex I.SYIn)6
<br /> (Hmne/ULIn;CommereW Business; Bedroom; Deck;eCJ/p,x l a K �hSJ
<br /> BUILDING CONTRACTOR: L E C
<br /> S <
<br /> C _ —
<br /> AROTPLANMUSTBEPROVIDEDONAN8'h)CUSHEETOFPAPER. 4NY INCOMPLE'IE OR ILLEOiBIE PLOT RAN9 ."i `�.
<br /> WILLBERETURNED.
<br /> m
<br /> DIRE1. ALL EQUPLATPWSIONS O Dt (ARM TRT SHOWN —
<br /> I ALL W THE O DIMENATION OND I OF ALL SCSI BE
<br /> IS SHOWN OR DRAWN TO SCALE.
<br /> 2 SHOW THE LOCATION AND ), OF ALL G ORCHES AND OTHER ST(EB)AND ALL NEW r
<br /> BUILDINGSryTRUCURB(NB),INCLUDING DEC*,17Etl6,PORCHES AND OTHER ST0.lA;'IVRES, _
<br /> AND INDICATE NORTH(N). �y
<br /> 3. SHOW DIMENSIONS IN FEF'OF THE FOLLOWING: (A)WILDING(S)TO ALL LOT LINES,(B)BUILDING(S) I XJ
<br /> TO CEMER INE OF ROAD,(C)BUILDING MFASURI7 CTrt5)TO THE ORDINARY HIGH WATER MARK , C�
<br /> (OHWM)OF LAKE STREAM OR RIVER AND WETIAND AREAS,AND(D)LOT DIMENSIONS 3 y
<br /> a. SHUN THE LOCATION OF THE WELL(V/),SEPTIC TANK(SM AND DRATNFIELD(DF),AND ALL DISTANCES Cy' I to
<br /> TO BUILDINGS,ROADS,LAKE LOT UPS. 1
<br /> S. INDICATE IF A WALKOUT BASEMENT 15 PLANNED AND$HOW AREAS TO BE GRADED OR RAID. y
<br /> 6. IF SEPARATE PIANS ARE SUBMITTED BY AN ARCHITECT,E%7*13,BUILDER,CONTRACTOR ETC,THE
<br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER `
<br /> NOTE: BUTLDIM/SrRUCTURE LO['ATIONS MUST BE STAKED Be AN ONBTIE VERIFICATION MY BE DOME WHEN I
<br /> NEEDED. �)
<br /> TH3S PERMIT IS STIBIECT TO ALL CONDITIONS LISTED BELOW: a z
<br /> IM
<br /> MVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN W DAYS OF PERMIT. Cj
<br /> Z AL OR CUTTING OF AND VEGETATION IS REFTRICTED ALONG INE.
<br /> a. NO GRADING OR SHORFAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PHM
<br /> TTED•
<br /> 9. '
<br /> NO STRUCTURES,INCLUDING RETAINING WALLS,EIC.,ALLOWED WITHIN THE REQUIRED WATER O,
<br /> SETBACK AREA. 8 E
<br /> 5. ACCESSORY STRUC71IR51GARAGE PERM rS ALLOW FOR PRIVATE RESIDENTIAL GARAGWORAGE ONLY. V
<br /> NOT TO BE USED MR HUMAN HABITATION.
<br /> 6.
<br /> .. R
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<br /> and b~R is bRA urtect aW cmpb I SUmarntlpa that am MPam/Ne Far the EMaY aaa xo.vry or all lnfarmfbn €dim" : >
<br /> 6. :
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<br /> gwMb9va6 be retell upm Wtla eamW of 8ume0Wlemnsblfi[khRMa"Mf.,tm a muse PermR. cad.xemaw
<br /> IbNRtT Brat nwY Aea,avdMNa fkudy aN Ba„aN mlyagmtlN Mar,rmtbntam P,aH4m A,qb appYutlan Ieamela poy
<br /> pa,mAcaantYdri4ab rt,erPcd MM admbbintep mrmAYaMnxanwotltis wMaa.ea Pamnb Mwa[tmacNtlw mOme• a > '1ln
<br /> ae�eHeM P'amlfax ntam(rmrm Ela Ume roeBro Papaef apeelrm. Gae8ay
<br /> OWNERS SIGNATI G ,� 6
<br /> /l (�) � tCWHz
<br /> : z
<br /> S"E'
<br /> AN 19 2013 '
<br /> TOWNSHIP PERMITS MAY BE REQUIRED
<br /> BURNETTCOUNTY
<br /> ZONING
<br />
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