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Burnett County 7410 County Road K, No. 102, Siren, WI 572 Office of Zoning Administrator g <br /> n z <br /> 48 <br /> j APPLICATION FOR LAND USE PERMITS <br /> � <br /> OWNER Carr Lo-r!&on TELEPHONE LI �C3< ° <br /> le..>I ..� o <br /> MAILING ADDRESS 304 lady 51tpper lane VcLdnQ.tS <br /> 1 <br /> PROPERTY ADDRESS 55+x-1 <br /> LEGAL DESCRIPTION <br /> c- <br /> .'r4 (D �� 3 iZ�� lora pec ora -ual3 -oc� Uzr� <br /> TYPE OF PERIWIMS): SINGLE-FAMILY DWELLING ❑ ADDITION DECK❑ GARAGE/ACCESSORY STRUCTURE ❑36 <br /> _ <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT D -) , <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> 11 ((�� � 1 S 3 <br /> STRUCTURE/ADDITION USE: t '(DU.CICI"on U)i Q npu .) a& o <br /> (Home/ bin; Commercial Busin ; Bedroom; Deck; etc.) spa« <br /> BUILDING CONTRACTOR: UJI.I�VL <br /> PO &x 53-1 2ush !Lkl "o 550LO� ^ N <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 W X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o <br /> WILL BE RETURNED. 0 <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C C) <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, .a <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B) BUILDING(S) C Ln <br /> ° <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK o ,. <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 9D <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 ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC., THE C� <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 1 �I <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. 1 9' z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. n C>UG.' � ;a3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER I <br /> SETBACK AREA. CD <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. /V„1 <br /> NOT TO BE U,S,Eq FORrUM/AN ITATION. <br /> 6. ,5C2.. 1 IQ ev E <br /> 7. T na ro <br /> I declare that this application (Including any accompanying schedule)has been examined by me and to the bast of my Ie p ° .�° A' <br /> knowledge and belief H is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all g <br /> Information contained in this application(inckrding any accompanying schedule)and I further declare that I recognize that this .c E. > <br /> Information I am providing will be rallied upon by the County of Burnett Wisconsin in determining wheMar So issue a permit. I5� a <br /> further accept all liability that may be a result of the County of Sumett relying on this information I amproviding in this Tr 'moo IV <br /> ro <br /> H N <br /> application. I agree to Permit county officials creased with administrating purpose <br /> county ordinancescoon or other euthort:ed person to have a tfir <br /> access to the above-described p at any reasonable time for the purpose of inspection. S R g g S A <br /> W <br /> OWNER'S SIG NATU p R a g 8 <br /> ' 6 ' <br /> A <br /> (date) ii $ 'o � R 6 __ x <br /> c ry_ 66 <br /> ZONING ADMINISTRATOR '<^ m g w : g <br /> It <br /> TOWNSHIP PERMITS MAY BE REQUIRED °° <br />