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t <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator n c <br /> APPLICATION FOR LAND USE PERMITS a . <br /> OWNER TELEPHONE�f esc . -v � <br /> MAILING ADDRESS h <br /> 1,��L� �L YV )� �rD�I\�V. 1/C�II.�V. �I✓ �J T Z� AI ^\ O <br /> PROPERTY ADDRESS <br /> 271 3i+ C rk kwk'I WA5Lerl W^L- 5-hBU a <br /> U <br /> LEGAL DESCRIPTION <br /> s3 rt l w t C5 v P2'1 No+T4 W �. <br /> SINGLE FAMILY DWELLING S7 GARAGE/ACCESSORY STRUCTURE ❑ ADDITION 13 STAIRS <br /> TYPE OF PERMIT(S): /�' y <br /> FILLING/GRASDING [ICAMPINGUNIT❑ BUNKHOUSE El59.692(1V)GAZEBO ❑ DECK [I <br /> STRUCTURE/ADDITION USE: J�QL,�Y 5- <br /> Z (C," <br /> '( \ (Homme/Cabin;aCommerc/ial Bu mess; Bedroo Deck; etc.(z' P <br /> BUILDING CONTRACTOR: 7)Zj N-V- C-�Vly',jS VD1�Qv�-Ppv ✓4�..JG�CDGJ _ I—.. G <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 uz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C J <br /> WILL BE RETURNED. <br /> 7o C <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> I\ 6 <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. r) Irua <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW y R <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES,. <br /> AND INDICATE NORTH (N). r7 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) (� o <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK I v <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. I <br /> 4. SHOW THE LOCATION OF THE:^d Z WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES �. W o <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. w <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. O VT 6 <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE a <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. 9. Su <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: - J C l�nl <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. Z c, I <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. E pJp�t <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER. IN (fl w <br /> SETBACK AREA. O <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. O <br /> NOT TO E USED rF�O,R HUMAN HABITATION. �/ , ` ^' E <br /> 6. �IaYT�tf (-Iv rl QsCxe�) -ID &- l�O�YC6iF�✓ Tr7AV, Y©-5g"JC4- � aim a ro <br /> 7. t�� as k+InLEd b�j 4�klaf)d4-1)z.j�jlC60s. <br /> I declare that this application(Inducing any accompanying schedule)has been examined by me and to the best of my knowledge <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 a <br /> am provlding will be relled upon by the County of Bumett Wisconsin In determining whether to Issue a permit. I further accept all <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 <br /> county ofRcials charged wl administraGn county ordinances or other authorized person to have access Ne;above- <br /> permit <br /> described promises at any reason Ie pme r th purpose of inspection. Ctl w s_ y <br /> ['"� � sa � z <br /> OWNER'S SIGNATU � V a n ;�„ <br /> -y-� ,C / p date) ,y Q B $ Ky <br /> ZONING ADMINISTRATOR J I� I ' I �a n(Dlu�l'N <br /> v71 <br /> TOWNSHIP PERMITS MAY BE REQUIRED C <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE C 8 U o <br /> ,Perm-j{ L 1y-c.(-jtd k 65e�,ald J`esch �e '5--ox-by <br />