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_ Z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER TELEPHONE - G <br /> 4;P,KANLT' 4 HEIDI IIJILNELAI tns�—lao3-2v (I,Jge�) <br /> lost-3bb-IbA�7- Ckll) Q <br /> MAILING ADDRESS 31+5 P wlli LANE (JDRTIA P4ir"0UR] rVW SS447 <br /> PROPERTY ADDRESS <br /> 23SRs oLD 35 SLs:eN lr.�l Sh4il-2. - I�_ a, <br /> LEGAL DESCRIPTION (r� <br /> 1 <br /> TYPE OF PERMIT(B): SINGLE-FAMILY DWELLING Cl ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE 0 ( .. <br /> BUNKHOUSE 0 59.692(1V)GAZEB0 0 STAIRS 0 FILLING/GRADING It CAMPING UNIT 11 W ,C <br /> COMMERCIAL BUILDING Cl COMMERCIAL ADDITION D COMMERCIAL rAAC,C,ESSORY STRUCTURE 0 <br /> STRUCTURE/ADDITION USE: VE - -DOc.Q G'L'>101J ? <br /> (Home/Cabin; Commercial Business; adl m; D ; eta) <br /> BUILDING CONTRACTOR: hoc.Ti" I_ i F 60aiagi4ovSE LE <br /> M <br /> 3 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. <br /> -DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) G <br /> c <br /> 1. ALL REQUIRED DIMENSIONS OR OF ALL EXISTING <br /> TO BE SHOWN S/DRAWN RE SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW r = <br /> BUILDINGS/STRUCTURES (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)BUILDINGS) dR. <br /> F <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHW M) 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 z- e <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. (l,Q o- 9.t <br /> 5. 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 <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. L�I 14444� ��1WW� t <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. E <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 <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. [J <br /> 6. V <br /> 2, z ,ti > n > c � <br /> Rn R3v3 _ <br /> I radars that IMs application(Including any accompanying <br /> schedule)has Deem respone0 of r t and to l a d ac of my ,_, p <br /> knowledge <br /> rmatio and Ganef it Is hive,carrell and complete. 1 acknowledge that 1 am rend Ifu d for Me detail and accuracy of all - <br /> Information I am pied In His ill ce relied upon by any accompanying schedule)and 1 terrain declare Nat 1 recognize that this 9" _ <br /> Information 1 am provWing will De relied upon by Me County of Burnett Wisconsin In determining whether to Issue a Dermic 1 - - 'rx - <br /> further accept all liability that may be a result of Me County of Burnett relying on this Information I am providing in this - _'^ Z <br /> application. I agree to permit county officials charged with administrating county ordinances or other avthodaed person M have w <br /> access to the above-desmbed premises at any reasonable Dme for the purpose of Inspection. r L n <br /> OWNER'S SIGNATURE <br /> ZONING ADMINISTRATOR_ "� �nil _6.{ - L <br /> OWNSHIP PER S MAY BE REQUIRED I(LPl_IQJy - � <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSI�I AfqETT OOUN <br /> ZONING - V <br />