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N 9 Z <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> \ APPLICATION FOR LAND USE PERMITS <br /> Y� <br /> OWNER I ,F t� N`IS �A /E` TELEPHONE KJ/ ! f _ 4W './ _S'� O <br /> MAILINGADDRESS Y� Y v O <br /> PROPERTY ADDRESS �7/„5/J2 <br /> LEGAL DESCRIPTION V; �l1c)ge- <br /> �V��rC�/ <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING C ADDITION H DECK❑ GARAGE/ACCESSORY STRUMRE <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING C CAMPING UNIT(D <br /> COMMERCIAL BUILDING 0 COMMERCIAL <br /> A�DD"M�O�"N 0 COMMERCIAL ACCESSORY STRUCTURE 0 IyR <br /> STRUCTURE/ADDITION USE: S 1 fl1><MjC /L�tC"vr(�PL _ p <br /> I CJ) <br /> "I ( ome/Cabin;Commercial Business; Bedroom; Deck;etc.) <br /> BUILDING CONTRACTOR: 0�5m'in a 0 Ni L( M t -Fr/) n <br /> J04E3LM�Su� 52 . 1t5 5w - b� I p 3 [j <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Va X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. <br /> n <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW Cti o <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). G o V. <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) 2. <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY 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 '_ <br /> TO BUILDINGS, ROADS,LAKE, LOT LINES. <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. IBJ a <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER,BUILDER,CONTRACTOR,ETC.,THE k,'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.THIS PERMIT PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: \I 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. ry iA <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. l <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. d <br /> NOT TO BE USED FOR HUMAN HABITATION. S <br /> 6. <br /> 7. l/ z � � nnn0c, � � <br /> 333 . 3'. . A <br /> ItledareeOat this application,Correct and uding anyacwete. Icknowledyirg e)M1at beenI am exaresponsinedble <br /> bymeMend detail <br /> Med st of accumy da ' <br /> knowledge and belie/i ins We,Correct and complete. Iacny compa yin MatIam)andI urt for Meare that <br /> anticcuraq of all <br /> information I am providing <br /> ding ill be relied upon <br /> byhe County of Burned <br /> Wisconsin in etunmet cleng whe M r toissuearecognize that this 2: � n m_ u <br /> further <br /> 1 am pabilit t will a relied upon by h e County f Burnett Wisconsin in information <br /> whether vi issue a permit. IY <br /> appli r on. Ialleetoiperm that may hearesuI h[he County of Burnett rel In on this er providing _ q <br /> relying p 9 in this 2i 5 e^N 7 <br /> have... othe bepermit rp�pl ons.cials chargetl wiM atlministratingm my oNinancesoroMerauthorixetl person to 6 = 6 � go , <br /> have aaessM Meahove-tlesrn2 premises atany naso hie meforthepurposeofinspection. p - - j > <br /> OWNER'S SIGNATURE <br /> (tlarel <br /> ZONING ADMINISTRATOR <br /> MAY 2 8 2013 `n <br /> �N <br /> TOWNSHIP PERMITS MAY BE REQUIRED = - <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUAN <br /> MANETT elf �. <br /> ZONING <br />