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C l0 Z <br /> Burnett County 7410 County Road K,No. 102, Siren,WI 54872 Office of Zoning Administrator a B <br /> APPLICATION FOR LAND USE PERMITS 1T1 Ul <br /> OWNERo � C c2 TELEPHONE cj `., O <br /> 0 <br /> MAILING ADDRESSr o <br /> 1 -6y c J LJ Ca�T��f)PI DS , mol <br /> PROPERTY ADDRESS —7 I <br /> Ico3 Y7LL k „�2 l�r4D �(2cN�2 W, 1 <br /> LEGAL DESCRIPTION A4'/AA'41I`4<'r� NZ VV Tl-e A)E yrs Ae Sf Vq A4-9,,,:-ZS- _ d <br /> 31 AONA - /2as, C / AW9, Nt -/.h3a e0(crJ <br /> TYPE OF PERMIT(S): SINGLE-FAMI DWELLING 0 ADDITION DECK 0 GA /ACCESS RY STRUCTURE EI `Zr7ret 'n <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT❑ <br /> f z <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL//ACCESSORY STRUCTURE <br /> 0 <br /> STRUCTURE/ADDITION USE: L/INbdOGain; oma usiness; Deck; <br /> Bedroom; e ; c. _ (f1 <br /> BUILDING CONTRACTOR: '11�'� a✓'1l t1 �� � L6n51•'�`C� ,� � <br /> O o <br /> c <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 1h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLAf15 <br /> WILL BE RETURNED. <br /> � O <br /> R7 ry <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n7 N n <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW CT <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, m' <br /> AND INDICATE NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) QJ <br /> TO CENTERLINE OF ROAD,(C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK t G <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. I� y <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES <br /> TO BUILDINGS,ROADS,LAKE, LOT LINES. (?J73o Il1 , <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. I I W <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. ,C y <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: <br /> T r z YJ <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WTIHIN 60 DAYS OF PERMIT. � A <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. �� O <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 d <br /> SETBACK AREA. p <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. O <br /> NOT TO BE USED,,F,'O.IRI HUMAN HABITAT)ON. d f <br /> 6. V <br /> See �ri CC A-C.-'C --�}}'r��r�. a D o 0 0 c (br1 <br /> �� <br /> 7. 3 3 3 U o ry <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all v a a a n= Y <br /> information contained in this application(including any accompanying schedule)and I further declare that I recognize that thisn',z °O S S9 v+ `0 <br /> information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to issue a permit. I <br /> further accept all liability that may be a result of the County of Burnett relying on this information I am providing in this 5 D : 5 d C7 <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have m n �^w w coo <br /> access to the above-described premises at y reasonable timgTor the purpose of inspection. <br /> OWNER'S SIGNATURE 17(/d�I /II/�n <br /> 0 o c p MZONING ADMINISTRATOR D) k ' n C r ii M <br /> TOWNSHIP P ITS MAY BE REQUIRED MAY 2 4 20 <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUAN U ^ o <br /> : oo = o <br /> BURNETT CO NTY <br /> ZONING <br />