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v 9 z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> / AQPPLICATION FOR LAND USE PERMITS C <br /> OWNED e ,,rr����S/C�cJ)/ TELEPHONE d <br /> MAILING ADDRESS 3 �2 3(D�1'" /� /V W R�IJ'tr`S-�e2, NJN S-S oI z �1 <br /> PROPERTY ADDRESS 13.0 �wAj7y APD A S wNee ///: 5 1 CJ Q � n rte <br /> I W-� ( °< cv <br /> LEGAL DESCRIPTION �leN ne ��S` L 07-0� Z-3`j-Iy-o�O 6 <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING 0 ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 <br /> a <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE 0 0 '� <br /> STRUCTURE/ADDITION USE: Z E0e(CANSC. 6 Z <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) P .� <br /> BUILDING CONTRACTOR: �Y//-C✓Di,I'N/9-w CD�✓S>7LUCT/ >S,E/V/% 6O /v n •t" <br /> a <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 ya X11 9HEIET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS c N <br /> WILL BE RETURNED. r <br /> 6 <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) M p <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m v n <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, <br /> AND INDICATE NORTH (N). N W c <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B) BUILDING(S) °� l <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 <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. = '� <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 E ' <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 ..I <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 'P <br /> 1.1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n <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. Q <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. 'f <br /> 6. <br /> � Xl > aoe <br /> 7. <br /> I dedare that this application(Including any accompanying schedule)has been examined by me and to the best of my 8. <br /> knowledge and belief it Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all m i R_r* <br /> Information contained In this application(including any accompanying schedule)and I further declare that I recognie that this " E.9 D to N <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I 5 0 E:—; b <br /> further accept all liability that may be a result of the County of Burnett relying on this information I am providing in this P �c r N: H c [ro" <br /> application. I agree to permit county officials charged with administrating county ordinances or other authored person to have S 8 w n <br /> access to the above-desalbed premises an re me for Me purpose of inspection. , p <br /> A 6 <br /> OWNER'S SIGNATOR (dace c H > m = Y <br /> o � owi" om <br /> ZONING ADMINISTRATOR �i 1` C: m Kf <br /> � n <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE N N = <br /> 800=8 <br />