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F b o <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS W <br /> a <br /> OWNER%r(A VVI aN `k �64h S✓✓i t�H- TELEPHONE 1ro8-3 a -27 y,2 sQQ Q� <br /> MAILING ADDRESS �y/1 O�,F Il •dCP �1^p OW1P``!'O`{``'C L� �nD ! �� I <br /> PROPERTY ADDRESS 38 Ig �`TT11 Q4JC GK �� 1JvYSlCF s�C 953 61 <br /> l D � <br /> LEGAL DESCRIPTION c G <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITIONV DECK❑ GARAGE/ACCESSORY STRUCTURE ❑ <br /> BUNKHOUSE ❑ 59.692(SV)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT ❑ <br /> r <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> STRUCTURE/ADDITION USE: b PB. �eQ,�.... &AL o <br /> (Hom1e/Cabin; Co1mnmercial Bsinesss;; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: ` I�I�.a1r1IEP f '�� ;-:o S7D L.) a gY C,, <br /> n <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Vz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o_ <br /> WILL BE RETURNED. R <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) tOn $ <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m n <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW tE ao B <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES,(B) BUILDING(S) <br /> TO CENTERLINE OF ROAD,(C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK QD Q <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D) LOT DIMENSIONS. <br /> 4. SHOW THE LOCATION OFTHE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES <br /> TO BUILDINGS,ROADS, LAKE, LOT LINES. n rn I <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <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. ,' I^ U, qj <br /> qj <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN v l <br /> NEEDED. I y W <br /> a <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: r G <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. J <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 /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONL <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 2. <br /> I declare that this application(including any accompanying schedule)has been examined by me end to the best of my <br /> knowledge and bellef k is true,ocnact and complete. I acknowledge that I am responsible for the detail and accuracy of all E E <br /> information contained In this application(Including any accompanying schedule)and I further declare that i recognize that this E.a a m <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I <br /> Burnett <br /> 5 g W v <br /> further accept all liability but may be a result of the County of Buett retying on this Information I am pmlding In this <br /> apPlkaticn. I agree to permit county officials charged with administrating ceraay ordinances or other authorized person to have <br /> access to the above-desal premises at any reasonable time for the rpose of Inspection. m $$a 11 <br /> a <br /> o a` $8o88 <br /> OWNER'S SIGNATURE -L8�i/L7 y j F. <br /> (date) 8 <br /> �mFlCtn(gan " sgs� <br /> ZONING ADMINISTRATOR <br /> C: m° <br /> TOWNSHIP PERMITS MAY BE REQUIRED � d <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DA E OF ISSUANCE <br /> (M i �e+4v rnatled -ko h(lo_s L'Stt d kp g1610 $o $ <br />