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'unty 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator N <br /> APPLICATION FOR LAND USE PERMITS : x <br /> ��(yC � ( IVwI �)✓11R Ceh TELEPHONEFSa <br /> 9 <br /> MAILING ADDRESS�/�(/ .21-CA SiE Dior h S$-6J0 �( <br /> Oo <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION ')✓1 cV `�, / <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ADDITION DECK GARAGE/ACCESSORY STRUCTURE �+ L— <br /> BUNKHOUSE 59.692(1V)GAZEBO STAIRS FILLING/GRADING CAMPING UNIT ,�'j C <br /> COMMERCIAL BUILD��IING/ COMMERCIAL <br /> I(ADDITION COMMERCIAL ACCESSORY STRUCTURE S � <br /> STRUCTURE/ADDITION USE:rOrLQ �Y^�"r � 5e'fr FDF,>L - a <br /> (Ho[[m��e/Cabin; C//�� m(e(r((c��lal BUlsiness; eetl_4 Deck; etc. <br /> BUILDING CONTRACTOR: Pa f L7Cu.0. , .l,h t' Pep. 9,w S70 !Jejjct, ur $`(853 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 V.X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS O o i}=•_a7 <br /> WILL BE RETURNED. = fi <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. E n <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB) AND ALL NEW 't w <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS <br /> IONS O FEET OF THE FOLLOWING: (A) T(S)TO THE TO ALL LOT LINES, TE BUILDING(S) <br /> TO CENTERLINE , ROAD, (C) BUILDING MEASUREMENT(S)TO THE )ORDINARY DIM HIGH WATER MARK <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD (DF), AND ALL DISTANCES q `� <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. —C a rn <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. y <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE g <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 SUB]ER TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. Q a <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 /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. r., <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. live['/ 'Oowrs �e� -�l rd e (Grp <br /> p <br /> L declare that this application fitIstrue, <br /> ,correct <br /> any accompanying ac nowled e)hes been examined of r o and to the best of my o j <br /> In owkige and belief it Is his a coned ani complete. [acknowledge that I am rand Ifibie for Me recall and accuracy of all - <br /> Infonnatlon c0�iixtl In this application(including any accompanying sdredWe)and t further declare that 1 remgnhe that Mb c E.> > <br /> Information 1 am providing will be rolled upon by Me County of Burnett Wisconsin In determining whether to Issue a Permit. 1 <br /> further accept all liability Mat may be a nol of the County of Burnett relying on this Information 1 am proyle lm,In this <br /> application. I agree M permit county officials charged with administrating county ordinances or other authorized person to have <br /> access[o the ebovedesatbed premises [any reasonable tlme for Me purpose W Inspection. <br /> � qr > 8�8E <br /> OWNERS SIGNATURE �' /Wtl('!(- i. ,� ( 1 - > <br /> ZONING ADMINISTRATOR �� - <br /> Ecr <br /> APR Q 4 2014 <br /> z. n <br /> TOWNSHIP ERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUA( RN� u C U U £ <br /> Nor— t31CPS11-� /007` shoc, L/ A-S p/fx'/101e(1 ETTCOW <br /> �si� f Ulc TT u <br />