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y 9 a <br /> S 3 <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator ' <br /> APPLICATION FOR LAND USE PERMITS a <br /> I, p 4� hnua �5�' 290-YyYS (N) o <br /> OWNER �@L^L'ANCe- ICOLLSi_- TQ,(f(�LL��E 6s/ X111 71/ o <br /> MAILING ADDRESS .. £ <br /> 5�1 AAIAM(A Aver st.PA,& MAI Ssrog <br /> / i <br /> PROPERTY ADDRESS d2y04 5- DKf 7AfC. 40AaC I Webster <br /> LEGAL DESCRIPTION S <br /> TYPE OF PERMm(S): SINGLE-FAMILY DWELLING 0 ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE 0 m. <br /> BUNKHOUSE 0 59.692(IV)GAZEBO 0 STAIRS FILLING/GRADING 0 CAMPING UNIT 0 <br /> COMMERCIALBUILDING/�j���C�O�M�MERRCCIAALADDITIONO COMMERCIAL ACCESSORY STRUCTURE O 9 <br /> STRUCTURE/ADDITION USE: !-KJt/t�P C--/C.YL� �L[�j� /�/� IJ,J P <br /> (Home/C1abin;Commercial BuAfRBss; Beoraom; -kk etc.) <br /> BUILDING CONTRACTOR: DAM F100.1 Y1 m <br /> 3: <br /> p < <br /> A PLOT PLAN MUST BE PROVIDED ON AN BY.X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PUNS 1 <br /> WILL BE RETURNED. W <br /> DIRECTIONS FOR PLOT PUN DRAWING: (ARIAL OR TOP VIEW) e <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m v <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW o <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). <br /> Z <br /> 3. SHOW CENTERLINE <br /> OF IN FEET OF THE FOLLOWING: (A)BUILDINGS)THE TO ALL LOT CANES,(B)BMARK G(5) SL a <br /> TO CENTERLINE , ROAD, OR BUILDING WETLAND AREA TO THE ORDINARY HIGH WATER MARK G g <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. $() C <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES P. y <br /> TO BUILDINGS,ROADS,LAKE,LOT LINES. <br /> S. INDICATE IF A WALKOUT BASEMENT 15 PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. "I <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,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 Iry y <br /> NEEDED. PSS <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: t($1' <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. T 6 Z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. d R ? <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. OU(� <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAG�E/STpRAGE ONLY. <br /> NOT � <br /> BE SMArjHABIT� TION. <br /> 6. 1 GJ2 Se.a.�l/ tMt�IX, <br /> 2. ., Poonaa <br /> 'Rw` 2 a as Ea <br /> I declare that this application(including any accompanying schedule)has been eaamined by me and to the beet of my <br /> knowledge and belief it is true,correct and complete. 1 acknowledge that 1 am responsible for the detail and accuracy of all <br /> information contained in this application(including any accompanying schedule)and l further declare that I recognize they this 56�m$i <br /> information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether M issue a Permit. I <br /> fwther accept all liability Mat may be a result of the County of Burnett relying on this information 1 am providing in this a <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized persunto n '. $ .ry <br /> have access to[M1e above-described premises at any re nabllee time for the purpose of inspection. s� D „Nie iAn <br /> OWNER'SSIGNATURE <br /> (dam) <br /> ZONING ADMINISTRATOR <br /> OWNSXIP PERMITS MAY BE REQUIRED � ;,, <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE p <br /> uu8ee�8 <br />