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e ^ Z <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator a '� <br /> APPLICATION FOR LAND USE PERMITS y <br /> G C <br /> ^ <br /> a <br /> OWNER QAayV ram / I TELEPHONE d <br /> MAILING ADDRESS )WO �l 11$Ida 5�.�.FxGelslo; INIU aS 33 I .. <br /> I <br /> PROPERTY ADDRESS <br /> 5(037 Mail Road, o <br /> LEGAL DESCRIPTION 3 5Ct�,fon 7 T40A R150, SAGKsoA) <br /> TYPE OF PERMiT(s): SINGLE-FAMILY DWELLING 0 ADDITION 0 DECK ff r GARAGE/ACCESSORY STRUCTURE❑ <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 <br /> ro <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE CI S' <br /> STRUCTURE/ADDITION USE: R15MM-ff *fffiti(,. PAUCM 4rl0 L'U'TH AVW PAotr23v $once SiX6. c <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: CCAIIJS GOIdC.. YOnd / dnil(.Vte'ft <br /> O � <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'/z X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS 0 o _ <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) ^p <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C d <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, c <br /> AND INDICATE NORTH (N). c o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) <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 1 <br /> TO BUILDINGS, ROADS,LAKE,LOT LINES. vi <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 o <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> 1 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: VA <br /> � <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. h <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 Y^ <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6 125FYece( Psbo Tr be nom,adfly -at SLwa e(eva6,o as 6)e highai A'.1 f. of Ae.7. � <br /> CYtrns( 4410. eovyfwef was kot )tf el) I > 0 0 0 C) a d i <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my knowledge B o Q <br /> and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all information <br /> contained in this application(including any accompanying schedule).and I further declare that I recognize that this information I .� - > <br /> am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit I further accept all g ?w V <br /> liability that may be a result of the County of Burnett relying on this Information I am providing in this application. I agree to '° c <br /> permit county officials charged with administrating county ordinances or other authorized person to have access to the above- ^ c.Z 8 c ig o <br /> described premises at any reasonable time for the purpose of inspection. ^y w <br /> A 6 a g g o g c <br /> OWNER'S SIGNATURE Ila 1C > a w 0 a w =' <br /> (date)I o. 5' <br /> U F2:. s a l <br /> ZONING ADMINISTRATOR D ''� ,`�� c F <br /> TOWN IP PERMIT AY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE ti o N N U o <br /> ,n v, o 0000 <br />