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Z <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator = c' <br /> APPLICATION FOR LAND USE PERMITS ' <br /> r S <br /> OWNER "155C1-'l- TELEPHONE <br /> r UCX.KIZ(S- gq-7- ayk� ' I� <br /> MAILING ADDRESS V L') <br /> q3'1 a )F-. t7Aesse L tJS. <br /> PROPERTY ADDRESS nn � / ''. <br /> a59 �3 &All 4+ L N <br /> ( 77P. <br /> LEGAL DESCRIPTION <br /> a ` <br /> TYPE OF PERMIT($); SINGLE-FAMILY DWELLING❑ ADDITION❑ DECK O GARAGE/ACCESSORY STRUCN11;_< <br /> BUNKHOUSE Cl 59.692(IV)GAZEBO Cl STAIRS❑ FILLING/GRADING ❑ CAMPING UNIT❑ <br /> �-- <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE❑ :! <br /> STRUCTURE/ADDTTION USE: QTbl_f�P yj <br /> 1(A � (Hdme/Cabin; Commercial Business; Bedroom; Deck; etc.) �I <br /> BUILDING CONTRACTOR: 1JW3$Z,Ct- �r --FA'c- v <br /> $ U <br /> A PLOT PIAN MUST BE PROVIDED ON AN 8`/a all SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. r <br /> n <br /> DIRECTIONS FOR PLOT PIAN DRAWING: (ARIAL OR TOP VIEW) e <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(EB)AND ALL NEW <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). N rr z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B) BUILDINGS) <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENTS)TO THE ORDINARY HIGH WATER MARK i o <br /> (OHW OF LAKE,STREAM OR AND WETLAND AREAS,AND(D)LOT DIMENSIONS, <br /> T <br /> 4. SHOW THE LOCATION OF THE WELL <br /> (W),SEPTIC TANK(5T)AND DRAINFIELD(DF),AND ALL DISTANCES <br /> TO BUILDINGS,ROADS, LAKE,LOT LINES. -L <br /> S. INDICATE IF A WALKOUT BASEMENT 15 PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE 71 <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. , I I <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY_BE DONE WHEN �V,N) IVIj/1 Vt <br /> NEEDED. (� C <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 ADAYSOFRERMR. <br /> z <br /> 2. REMOVAL OR CUTTING OF LATREES AND VEGETATION O RED UNLESS ALONG SHORELINE. z <br /> 3. NO GRADING OR ES'INCLU AND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED.SETp <br /> "-'4.- NO BACK ARE ES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> A. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> fi. <br /> 2 > F > r. r. r. : pyo <br /> R ^ 2 3 3 3 <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my g C j a a a u� <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible For the detail and accuracy of all cd v m o <br /> information contained in this application(including any accompanying schedule)and l further declare that I recognize that this <br /> information I am providing will be relied upon by Me County of Burnett Wisconsin in determining whether to issue a permit. s _c <br /> further accept all liability pat may be a result of the County of Burnett relying on this information I am providing in this <br /> application. s agree to permit only o cialschanged with administrating county ordinances or other authorized pecan to <br /> have access to the above-described on rises at anyre son le time hor t purpose pf inspection. y <br /> OWNER'S SIGNATURE 7v�9 o*0/ 3 8 `- 4 <br /> (date) �Ittt ENE Z' r; - <br /> ZONING ADMINISTRATOR i �— G ' F J <br /> / a7 a <br /> TOWNSHIP PERMITS MAY BE REQUIRED ?-SCE <br /> AUG 1 20131JTHIS PESHALL EXPIRE E YEAR FROM DATE OF ISC <br /> RMIT ON <br /> SU NrrrCOUN1v R <br /> ZONING - _ _ <br />