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Nov 27 07 05: 39a Mark Just 715-259-3991. P. 1. <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator *= z <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER �Cul�7 �I)/}i TELEPHONE ZS Jz I"I J <br /> del �✓ — <br /> MAILING ADDRESS 7o30 S, !3,c,t2 [-.u- . 0 V466&,e- . 1�g X <br /> (d <br /> PROPER 71'ADDRESS 29/7li/ l f-la5 ray.;7agi L PA,[ 4X '5"155 <br /> r(5j v <br /> LEGAL DF'iCRIPT[ON I i <br /> 03 r 411 W P-l4r tL1 E, <br /> .SINGLE FAMILY DWELLINGJR GARAGE/ACCESSORY STRUCTURE❑ ADDITION CI STAIRS ❑ <br /> TYPE OF PERMrr(S): <br /> FILLING/GRADING 0 CAMPING UNIT 0 BUNKHOUSE 0 59.692(IV)GAZEBO O DECK❑ ) <br /> STRUCTURE/ADDITION USE: <br /> �1 (Home/Cabin; Commercial Business Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: (�DfWrL 3OA�K 60'5/ tl7 /h"'^9G/i <br /> A PLOT MAN MUST BE PROVIDED ON AN 8 Va X11 SHEET OF PAPER ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AR1AL OR TOP VIEW) I _ <br /> I. 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 r '' <br /> BUR DINGS/Sl'RUCTURES (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(c) c. <br /> IC CENTERLINE OF ROAD,(C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK a <br /> (OHWM)Of LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D) LOT DIMENSIONS. z <br /> 4 SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF), AND ALI.DISTANCES <br /> 'HJ BUILDINGS, ROADS,LAKE, LOT LINES. <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> f. I Sf'PARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC„ T&" _ <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. y l <br /> NOTE: BUTI DING/STRUCTURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DOIJF WhEN �r <br /> I� <br /> NE:FDF.D. �;,n, <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: Ir h 1 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 50 DAYS OF PERMIT. <br /> 2, R.Eh1011AL-OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO (RADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTEC. L. <br /> 4. NO STRUCTURES.INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE OW.Y. i <br /> 6 NOT TO BE USED FOR HUMAN HABITATION. Z1 L <br /> �' n <br /> ( z , r.maaaw <br /> m c: hi <br /> 7 <br /> I Uedare[hat appgcatton pnduding any accompanying schedule)has been examined by me and to the be 1 of my I nowie.11, <br /> tri­. , a <br /> and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of zfi infom,ad)n <br /> contained in dw application(including any accompanying schedule)and I further declare that I recognize that this informattm I 8 <br /> am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I further accept allJ ro <br /> liability thatmay be a result of the County of Burnett relying on this information I am providing In this application. I agree N ^t, " " ` r` <br /> permit county officials charged with ministradng county finances or other authorized person to have access,o the above- rj <br /> described Premises at any reason Is me for the purpo IF Ins n. <br /> , <br /> r <br /> OWNER'S SIGNAIURE_ Z <br /> 0 <br /> ZONING ADMINISTRATOR_ <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />