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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g <br /> APPLICATION FOR LAND USE PERMITS y: y <br /> o <br /> n <br /> OWNER TELEPHONE <br /> ry Cf n � 13 Len nu S�ernmetz 5/5 <br /> MAILING ADDRESS v <br /> (n/ol3 laOlnCs, T� S0324 ; <br /> PROPERTY ADDRESS2 CQ.nIn 4VT 57497. <br /> � 1 <br /> LEGAL DESCRIPTION "J c C <br /> fi r✓ 7 , l 39AJ I� I '1 w � <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING W ADDITION ❑ DECK❑ GARAGE/ACCESSORY STRUCTURE ❑ <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ I}—� <br /> ro <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION❑ COMMERCIAL ACCESSORY STRUCTURE ❑ e <br /> STRUCTURE/ADDITION USE: 4 le �CLM• N O , 0 1w id+ ///7eG o+p r_ <br /> (Home/Cabi ; Commercial Bu ' esns; Bedroom; Deck; etc.) "\ <br /> BUILDING CONTRACTOR: /V�l tf' l- LCC77 O J2 ti �O <br /> A PLOT PUN MUST BE PROVIDED ON AN 8 'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o_ <br /> WILL BE RETURNED. (} <br /> a <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) M 2 <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C d <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW •o ='' 9 <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). J N + o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK O <br /> (OHWM) OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D) LOT DIMENSIONS. p O <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD(DF),AND ALL DISTANCES 5 E <br /> TO BUILDINGS, ROADS, LAKE,LOT LINES. m i <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. (,U <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, Ek.,THE <br /> PLANS 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. <br /> THIS PERMIT IS SUBIECF TO ALL CONDITIONS LISTED BELOW: o r C�,p S <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. O n Z O <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. p ,� G <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. + <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER W <br /> SETBACK AREA. 1i �l <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. b <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. p L <br /> 7. o o a n g b <br /> R 3 3 <br /> B <br /> 1 dedare that this application(Including any accompanying schedule)has been examined by me and to the best of my o,°Z 'o 9 11 <br /> g- <br /> 15. <br /> ? w <br /> knowledge and belief ItWh <br /> Is true,correct and complete. I acowledge that I am responsible for the detail and accuracy of all c m E I-e: <br /> Information contained In this application(including any accompanying schedule)and I further dedare that I recognize that this E.o d m <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a pemilt. I > <br /> ?g a w'v <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing in this <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have ,2 $ <br /> access to the abovrdesoibed Premises at any reasonable time for the purpose of Inspection. to <br /> .21 <br /> W <br /> OWNER'S SIGNATU 'U77 <br /> (date) <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> G <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE N N N <br /> Perm-( 4 4- let-I-erlot 2k0aupbL�jgunny _A_v,hLHz6,�-Ii <br />