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NOV. 13. 200] 3: 22PM MN SURGICAL ASSOCIAT Nd90;E 'E1 'AON N0. 5453AI3P 1 <br /> VAX. I ?/5 3qOf- - £/ 0 <br /> Burnett County 7410 County Road K,No, 202, &an, WI 54872 Office of Zoning Administ aWr <br /> APPLICATION FOR LAND USE PERMITS a <br /> W <br /> OWNER TELEPHONE <br /> MAILING ADDRESS <br /> Zwood L9f�.v /4Vc sr PA L h.Y l✓ SS'/0 �7� O� <br /> PROPERTY ADDRESS of 95 38 <br /> nwft <br /> QYrr� e <br /> LEGAL DESCRIPTION 3 13 133 Cl <br /> GLE FAMILY <br /> 8. to A( a. t bdr4�T9 a r/ s <br /> SINGLE FAMILY DWELLING O GMAOE/ACCESSORY STRUCTURE O AODM Q STAIRS ' <br /> TYPE OF PiRMR(5)• � <br /> FILLING/GRADING 0 CAMPING UNIT 0 BUNKHOUSE 0 59.892(3 V)GAZEBO 0 DECK 17 .? <br /> STRUCTURI/AODmON USE: jO 1-1er0ou n.e rt ut a.'y I , <br /> (HOme/Cebin; Co M",BuslnerB; BedTeom; Deck)etc•) e o <br /> BUILDING CONTRACTOR: G e ` <br /> A PLOT PLA,.,,.T BE PROVIDED ON AN 0 W XII SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS I� <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ANAL OR TOP VIEW) O 8 <br /> 1. ALL REQUIRED DIMENSIONS OR OrSTANCES TO Be SHOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL OOSrING BUILDINGWETRUCTURES (EB)AND ALL NEW Iw <br /> AND INDICATE NO T H(m(NB),INCLUDING DECKS,PORCHES AND STRUCTURES, <br /> AND INDICATE NORTH(p), to O+ <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (q)BUIIAING(S)TO ALL IAT LINES,(B) BUILDING(S) � <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENTS)TO THE ORDINARY HIGH WATER MARK S <br /> (OHWM)OF LAKE,STREAM OR RIVEA AND WETLAND AREAS,AND(D) LOT DIMENSIONS, s <br /> 4, SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND ORAINFIELD (DP),AND All DISTANCES <br /> TO BUILDINGS, ROADS,LAKE,LOT LINES. <br /> S. INDICATE IF A WALKOUT EASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> S. IF SEPARATE PIANS ARE SUBMITTED By AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR, ETCTHE . W <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. ., - <br /> NOTE' BUB.DING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERU•IrATNOr1 MY LTE DONE WHEN <br /> NEEDED. <br /> THIS PL91r7tT{E SUBJECT TO ALL CONDITIONS LISTED BELOW.. <br /> I. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT, r z <br /> Z. REMOVAL OR CUTTING OF TRIES AND VEGETATION IS RESTRICTED ALONG SHORELINE, � LPI < (� <br /> I. NO GRADING OR SHOKELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. n J Y� <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLSSETBACK APJ-A. ,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> 5. Nor TO BE SED FOR <br /> HUMAN <br /> MA PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. llC� <br /> 6. S <br /> 7. ^8 <br /> f dsdan Pat WIS 4pyN On n i G § <br /> arld bNkf K k true.i0rrect ane / n►e uwmel9 sChedu p baa eaaneted by Ane and h.tl1e bcs amy kno- a •2 C i p <br /> contNnd h IRAs+PPeq[kn(kpWi�naL'' coca wl�ye Ih4t I ain ra�PnR01e M Ore CcVll and am1q,,y d ak TLrNnaayen x <br /> y„ 9 rnr mPAnMne eafiNYle)end I APlher 4MiN[hX 114eo9rRe dlbt EAo ,E <br /> Ilbh L>ra'Mng MM M Lebed uPnrr WG�Y W BW BY B MC WYeetlmh Yf daerrnlnln9'eI:P11Kr k leYe a PwmiL f PorVyf xa4L IN in I7 t <br /> pafMt MY oryiRwLs ereeA MM,aagn � °"' i�nn�O^1 Mn PmMalnP b�Mk aerEortivA. [aqq Lo M��O E„t08 •'8'a <br /> deboTb�Premkes n aq n�mmbk una�PY KL, �,.'Lnc�,Bw�a vsaen en n.Ye aax.t k rAe above• m� n <br /> DwNER s sIGNATUR � ����` <br /> (aaTeJ �inl ya��+d <br /> 20fgNG ADMNNLRRATOR � <br /> TOWNSHIP PERMITS MAY EE REQUIRED :`• ' <br /> THLS IT SHALL q(PIRS ONE YEAR FROM DATE OF ISSUANCE �N� 8 <br /> Td 108S6bESiG a3bnuw 808 <br />