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Z <br /> BUmett County 7410 County Road K,-No. 102, Siren, WI 54872 Office of Zoning AdminisDator <br /> APPLICATION FOR LAND USE PERMITS W = <br /> e e <br /> OWNER�� TELEPHONE y,] <br /> IeILSw sutir, 4bl�brr tesla-�a -, <br /> MAILING ADDRESS 44y4 �PrvtS fV(PIS rT'\✓� S$Y10 _ i/ 1 <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION Town aF Tvch(.clu, -Bv.KT L;,,..-ir _�• <br /> RPE OF PHtaRT(6): SINGLE-FAMILYDWELLING ADD ONj DECK GARAGE/ACCESSORY STRUCTURE <br /> BUNKHOUSE 59.692(1V)GAZEBO STAIRS FIWNG/GRADING CAMPING UNIT 6 <br /> a <br /> COMMERCIAL BUILDING COMMERCIAL ADDITION COMMERCIAL ACCESSORY STRUCTURE S <br /> STRUCTURE/ADDMON USE: 14 ?ied rce�..S F,n...,\. Q,,,� -. o <br /> (Home/Cabin; Commercial Business; Lmrr; Deck; etc.) Illy\-�• ```''\ R' <br /> BUILDING CONTRACTOR: <br /> A PLOT PIAN MUST BE PROVIDED ON AN B Ya X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. O 1` w <br /> DIRECTIONS FOR PLOT PIAN DRAWING: (ARIAL OR TOP VIEW) r c <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 <br /> in n <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, o�( <br /> AND INDICATE NORTH(N). to Z W <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) 1 P� <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK - SJ <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D)LOT DIMENSIONS. p <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 /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN MCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC., THE 11x1 1 <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. Qj <br /> NOTE: NEEDS NG/STRUCTURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEN 1 <br /> NEEDED. 1, n <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTINGTREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. A Q. <br /> 3. NO GRADING OR SH00.ELEL AND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br />_ SETBACK AREA. — _ <br /> S. ACCESSORY SED FOR HUMAN <br /> PERMITS ALLOW.FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY..• _ I CI <br /> NOT To BE USEDFOROHU�MAN HAUITATIO <br /> 6. //1,•,v Ie1T1`�/ Al1/T/ 1 UC TWrr��p� -rte lap 35 F� <br /> 7. <br /> I dedam Mar MIs applkadon(YduNn;any aaempanWlp scAeOu4)Ras been eaunbwd by me aM to Me ben of my 3 <br /> knoxiedge and belief R b;true,mneG aM mmpkk. I ackrwwkdge Max 1 am rape for tfw d aM among d ab ¢ G. . ! •j <br /> InMmation omtnine0 b MIs appbmrlon(hrOWag airy aompnykV sulwdute)aM I furMer declare Max I rcmgnbe that M6 ,..'- <br /> IM,1muMn I am pmvbhsp will aerete]upm by tlw OmnrLY of BlnrrlQ Wkmrdn M deLermmhq w11e111a k amw a parnR. 1 m E 9 <br /> N.UM . accept all IkbORy trot mar W a nexdr of Bw Camty of&rnMt naiing on MS lnforrruUon I am pmvklbnq In MRs <br /> apDlkatbn. I agree m pamR manly ollMab Wrgad wIM wmmaaaMy county adlrurnms or oMer autror4ed pawn m Rave m 5 <br /> auras ti n. as gree to Permit <br /> county e[any lumed k ad for Mg'puryme of ImyeRlan. <br /> / q � ' $ a <br /> OWNER55IGNAN � ) > c gXm = Z <br /> ZONING ADMINISTRATOR_ _ D. _ C�'U <br /> 2. : <br /> TOWNStlIP-PERMITS MAY BE REQUIRED FEB I 2014 n <br /> THIS PERMIT SHALL EXPIRE ONE-YEAR FROM DATE OF ISSU l u v o u o 8 <br /> BURNETTCOUN9Y <br /> ZONING <br />