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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g ° <br /> APPLICATION FOR LAND USE PERMITS - <br /> OWNER TELEPHONE e161-639/— 7YIT O <br /> TCC — Ml rlC� S /f� cv c <br /> _ p <br /> MAILING ADDRESS N v� <br /> PROPERTY ADDRESS s �� <br /> e <br /> 73 G'e /fd it Oc.t/a.ud / <br /> LEGAL DESCRIPTION 3Y /yo p/`� 4,., fiV,) 8/WEE Y C 1> e �I/A E <br /> TYPE OF PERMIT SINGLE-FAMILY DWELLING 0 ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURI y <br /> BUNKHOUSE 0 59.692(1V)GAZE8O 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 a <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE 0 _s <br /> STRUCTURE/ADDITION USE: <br /> (HDme/Cabin; Co/mmercb Busln ; Betlroom; Deck; etc.) <br /> BUILDING CONTRACTOR: II)OA 'h 19 w m NC'L'rCg /ONp/�p 4-AJC 5 -6366 <br /> _L©�38 f{a yhJ4nd e% Ha y.•.nn�LJ, SYfSY3 °z < <br /> A DLOT PLAN MUST BE PROVIDED ON AN 8 W 1 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PIANS o <br /> WILL BE RETURNED. O <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW m <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, 3 <br /> qq ) R <br /> AND INDICATE NORTH (N). �l a z <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 <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. L p <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(OF),AND ALL DISTANCES <br /> TO BUILDINGS, ROADS,LAKE, LOT LINES. 6' <br /> S. INDICATE IF A WALKOUT BASEMENT 15 PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE y o <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 SUBJECT TO ALL CONDITIONS LISTED BELOW: � <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION 15 RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHOREIAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC., ALLOWED WITHIN THE REQUIRED WATER A' <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. <br /> 7. ^ Aao nnn�� 9 <br /> P{ n 333 g _._ `n <br /> I dedaro Mat Una appiltation(MMudiny any accompanying adiedule)Da been examined D me and b Me best of my Z , 3 �, g SKnoral ' F <br /> r e ,� a mwmR „ 3 <br /> thhorn doe and Ddief It b:We,ouneR and wmP;etO. 1 axkrnw nym Mat 1 am rand I norther ed rebll and aiwrary of all m_= a? �1 <br /> Information cardI am P d In Mb ll thr relied! <br /> (Inon by t any aunt of Borman, <br /> sMedule)and 1 norther declare that 1 rime axe Net MIs = > m u <br /> Information I am prorMInp will be be a upon by the County f Burnett Wemnon In OebrmIntrq wDam pr v laven perms[. i y gP"« <br /> applKfurther n. I all IIaDllity Mat may De a reovl[of rp County of Burnett ,obs an MB Informationor <br /> 1 r a providing In ren 2 <br /> ap ton. 1 bone to"bod!Parmat muntr onata n tMryW with one finlfor Me pu manly onviu Kas or oticer auMorized person m Dare ^ C1,7 p 8 r <br /> attest iv Me above-0esalDM Dromisef e[any reasonaD4 tlme for Me pur{gae of InepedJon. j <br /> _ � A �688o88y <br /> OWNER'S SIGNATOR <br /> (date) <br /> ZONING ADMINISTRATOwj <br /> R <br /> C _ <br /> TOWNSHIP PERMITS MAY BE REQUIRED D a <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ANCE N U 8 s« 8 <br /> JUL 9 Z013 <br /> BURNETT COUNTY <br /> ZONING <br />