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v <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS a <br /> OWNER r� TELEPHONE <br /> MAILING ADDRESS / /� 3 <br /> �oo3y <br /> PROPERTY ADDRESS f o <br /> 29uy A4-sr ,— Lnkr Rd. />, „b4t wS Sy83,o 121 _ <br /> LEGAL DESCRIPTION <br /> TYPE Or PeRM1T(5): SINGLE-FAMILY DWELLING❑ ADDITION 0 DECK GARAGE/ACCESSORY STRUCTURE 0 -_ <br /> BUNKHOUSE❑ 59.692(IV)GAZEBO 0 STAIRS V FILLING/GRADING 0 CAMPING UNIT d <br /> r <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDITION❑ /COMMERCIAL ACCESSORY STRUCTURE❑ _ <br /> STRUCTURE/ADDITION USE: Lc. TS'/r(t$ �- <br /> (Home/Cabifi;Commercial Business; Bedroom; Deck;etc.) 9-3 <br /> z BUILDING CONTRACTOR: 6w^Cz <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 V.X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. — - <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. r -- <br /> 2. SHOW THE LOCATION AND SIZE OF ALL[POSTING BUILDINGS/STRUCTURES(EB)AND ALL NEW C7 <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, J k tf <br /> AND INDICATE NORTH(N). p T <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B) BUILDING(5) <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK OO nO <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 <br /> TO BUILDINGS, ROADS, LAKE,LOT LINES. <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. Q <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR,ETC.,THE t <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 SUBIECT TO ALL CONDITIONS LISTED BELOW: (� F <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. <br />—3.--NO GRADING OR SHOREIAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY,PERMITTED— t�I . ._. �_ ._ _ _— <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/570RAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. > >n <br /> Ideclare that this application(including any accompanying schedule)hasteen examined by meansltothe"stormy 3 o j e 5 1 <br /> knowledge and belief it is true,correct and complete. I acknowledge Nat I am responsible for the detail and accuracy of all of a 5 n y <br /> Information contained in this application(including any accompanying ubedule)and Ifurther declare that I recognize Nat Nis _ <br /> information I am providing will be relied upon by Ne County of Burnett Wisconsin in determining whether to issue a Permit. I _ = 9 <br /> further accept all liability that may be a result of the County of Burnett relying on this information I am providing in thisq 62 <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized Person to <br /> have a..W the above-desc/rriibed premises at any reasonable U for Ne purpose of inspection. u > : R � ,'„ O <br /> OWNER'S SIGNATURE O <br /> (du � nw a� q <br /> ZONING ADMINISTRATOR <br /> 15-2013 <br /> M <br /> TOWNSHIP PERMITS MAY BE REQUIRED c <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF 1"NETT COUNTY a <br /> ZONING <br /> QtiS�it6-St'(3 :r o&(( > 8� , 0 /a <br />