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Burnett County 7410 County Road K,No. 102, Siler,WI 54872 ORloe of Zoning Administrator n z <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER / TELLPHONE <br /> &ar <br /> MAULING ADDRESSa4✓ e Ilo�m Pyr �i �`-z/� 3rro <br /> PROPERTY ADDRESS <br /> EGAL PnON / o4k fake Add6Jty /vo l <br /> �ts�> 71 u3o <br /> DWELLING/BUILDDIE/A�SSORY STRUCI RE ADDITION 0 STAIRS 0 <br /> TYPE OF PERMIT(S): 76-/'77 Ill + <br /> FILLING/GRADING 0 CAMPING UNIT 0 BUNKHOUSE 0 59.692(IV)GAZEBO 0 DECK O 4 I J N <br /> STRUCTURE/ADDITION USE:�y(2117 w r r1 d t ✓✓✓✓ S Z �rt <br /> ru,Hrle/�;Commeraal Busirxss; ; Deck;etc.) c 1v <br /> BUILDING CONTRACTOR: S <br /> s <br /> A PLAT PIAN MUSE BE PROVIDED ON AN 8 V.111 SHEEP OF PAPER. ANY IN <br /> WILL BE RETURNED. COMPLETE OR ILLEGIBLE PLOT PIANS <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AREAL OR TOP VIEW) O `� <br /> 8 <br /> 1. ALL REQUIRED DIMENSIONS OR OF ALL EXISTING <br /> TO BE SHOWN SI DRAWN TO SCAB). m S O <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING B PORCHES <br /> AND OTHER <br /> (EB)AND ALL NEWBUI <br /> AND INDICATE NORTH(S(NB),INCLUDING DECKS,PORCHES AND QMER STRUCRIRES, R p <br /> AND INDICATE NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) 1� n <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM)OF LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES >+ c <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 PIANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THEE y <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. ,n a <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: $ cq <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH 'a <br /> REQUIREMENTS WITHIN 60 RAGS OF qg <br /> 2. REMOVAL OR LILTING L TREES AND VEGETATION O RESTRICTED <br /> UNLESS ALONG SHORELINE. 3 R <br /> 3. NO GRADING ORS NCLELW D RETAINING S ARE ALLOWED UNLESS WITHIN <br /> THE <br /> RE PERMITTED, 1 <br /> 4. NO STRUBACK AREA- <br /> 5. <br /> ,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA <br /> 5. ACCESSORY STRUCTUREIGARAGE <br /> HA PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> � Aagogmg �yaro <br /> 7. Rm Rt7.§ FLa <br /> IEeWm MartllN• Irmlbn Ir1rI1p 3 n 4 w <br /> aM baIMkN We,amwAaM mm �anya®rnpanybp adreEub7 pas peelmumintl py meati pY tlw:bmtormy Muevbtlae <br /> p*a ..wnpan'i tlw[lam rmppMpb brtlw Estill anE atamary Mall lnbrmalbn p g� <br /> a maineE In tlriHI W MIW U by thea nLy of4aeyiaD wiretle n iu&, NunAm EwLm W Tun anW tlw[MN inbmwlbn l y} . <br /> Ib PmYMM ypem ukanMtM County or Rumen WNmMIS oEedmNNg wpm iognuea PeaalL INnheraamptall fR2! <br /> I F"alatmeYpea hilt" Min, yof Bumelt mryinPM MN prNrrNBarllam paYMirla in tllls appBvlbn. IpreYm permit n .r. <br /> aumy oBMab Wraetl wap aaminbtraUlq uwnry mdbsmM ormM auKwrbtl Pwsanb Mrs a¢earbeM apawtEesaipaD S <br /> Dmmber et armti naM tlmelDr Me au <br /> Wrpearinrptl . m a=7Y <br /> SIGN HERE <br /> (s4nad- Wnler of pYlMllla Camxppr) ( ) e S a, <br /> ZONING ADMINISTRATOR61 <br /> . . <br /> TOWNSHIP PERMITS MAY BE REQUIREII'' <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE%YOUNTY <br />