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Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator i <br /> APPLICATION FOR LAND USE PERMITS y' <br /> e <br /> p ^ <br /> OWNER //��T IJEUC TELEPHONE .76 j--VL'_3IVZ� <br /> IC v p <br /> MAILING ADDRESS 1152z AuS-nd GT /V&- d(-All & MN .5SSIfy I l <br /> PROPERTY ADDRESS <br /> 23930 /.3000.17 Lfi✓E- <br /> LEGAL DESCRIPTION L l ; C'm V c;t- <br /> TYPE OFPERMIT(S): SINGLE-FAMILY DWELLING❑ ADDITION ❑ DECK❑ GARAGE/ACCESSORY STRUCTURE❑ w 4 <br /> BUNKHOUSE❑ 59.692(1V)GAZEBO ❑ STAIRS X FILLING/GRADING O CAMPING UNIT❑ <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE❑ S' <br /> STRUCTURE/ADDITION USE: < ++w, 1",/Lo, a-Iki^!.tpp t2j * LK <br /> (Home/Cabin; Commercial Business; Bedr m; Deck;etc.) <br /> BUILDING CONTRACTOR: StZG 11�`v <br /> n � <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 1/1 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C o_ <br /> WILL BE RETURNED. +f <br /> �1 e <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) Y' a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. c <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW �: 3 <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, .. c <br /> AND INDICATE NORTH(N). o >Q c <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)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. <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES CI <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 c 1 <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 J" <br /> NEEDED. 0 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 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. H z <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. T S <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. V; <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. m" �' Lvic(i. Oh S�tnrwea Y Av Ay %� J , l✓I�h(6 <br /> 7. 0 0 0 o n a E <br /> F 3 3 a <br /> F1 Fl <br /> Fl <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my knowledge a o ,� '� i3_ a. <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 v c. > > m nom, <br /> am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I further accept allm m P-w7 s, <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 c c <br /> permit county officials charged with administrating county ordinances or other authorized person to have access to the above- A m 40 : 8 0 <br /> described premises at any reasonable time for the purpose of inspection. 8 d 5 S <br /> a8go80 <br /> OWNER'S SIGNATURE \ 7_ >'' <br /> date o ^ 9 ^ _ <br /> ZONING ADMINISTRATOR <br /> B ^ <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> p � <br /> U N O O O O O <br />