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z <br /> 3 <br /> Burnett County 7410 County Road N, No. 102, Siren,WI 54872 Office of Zoning Administrator _ _ <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER `� Le TELEPHONE c p <br /> Grrc SL) I ' Delle 6ja-868-�ds� <br /> MAILING ADDRESS <br /> u�� �cikl KlrlC �.I n�R ,n/ si:y ( yJ <br /> PROPERTY ADDRESS ��L I L LLFnS Lkj j [b <br /> o <br /> b� 5—?-Fb J05 15� <br /> LEGAL DESCRIPTION 0,;m 01 <br /> ;M01. F?L/ oj ) <br /> � <br /> TYPE OF PERMIT(5): SINGLE-FAMILY DWELLING 0 ADDITION'fi DECK 0 GARA ACCESSORY STRUCTURE O <br /> BUNKHOUSE 0 59.692(1V)GAZEEO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 <br /> COMMERCIAL BUILDING❑ COMMERC AL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE 0 - 3, <br /> n / I3^ 2 <br /> STRUCTURE/ADDITION USE: l' YIfJ I N <br /> - (Home'Cabm, CommeroalBusmn s; Bedr m;Deck; etc.) <br /> BUILDING CONTRACTOR:_ ISAj /.A rA- /VC C C/✓- <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. <br /> n _ <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIALORTOPVIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. r <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW C> <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)BUILDING(S)TO ALL LOT LINES,(B) BUILDINGS) <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK QJ 2 <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. 111 <br /> 9. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES <br /> TO BUILDINGS, ROADS, LAKE,LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 70 <br /> _ 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. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHENy <br /> NEEDED. / <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> _12--REMOVAL OR CUTTING OF-TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 9. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER J <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. £ <br /> 6. <br /> 2. > c � <br /> 'n _ _ <br /> 1 declare that this application(including any accompanying schedule)has been examined by me and to the best of my9.- z _ _^ 9 5 - <br /> 2 _ <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all <br /> information contained in this application(including any accompanying schedule)and Ifurther declare that I recognize that this _ F <br /> information I am providing will be relied upon by Me county of Burnett Wisconsin in determining whether M issue a permit I <br /> further accept all liability that may he a result of t ppp county of Burnett relying on this information I am providing in this <br /> application. lagrtt to permit co PKcialsc 1gkd iM adnjnirtatlnq countyardinances or aMerau M1orized person to <br /> have access to Me above-descr' a premises rr((.. sono t o for the purpose of inspection. <br /> OWNER'S SIGNATURE 7 A �II�}�I/Ir�_II,�� M���}.t == � � <br /> ���� (care) I�V L5 lJ IS <br /> ZONING ADMINISTRATOR _z. D l <br /> TOWNSHIP PERMITS MAY BE REQUIRED JUL 15 2013 _ <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF IS CE - <br /> BURNETTCOUNTY <br /> ZONING " " <br />