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Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator c c <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER Fr(f/n/G l �'�m Trot TELEPHONE <br /> �l <br /> O <br /> MAILING ADDRESS 1 !-)� I S e�Ger ��� �e SUrPri53g �y s <br /> 1 l <br /> PROPERTY ADDRESS 8�L,I C <br /> O ( <br /> I <br /> LEGAL DESCRIPTION J O / /c, I Pt-LJr a Urn <br /> L 7 A 2 C keNZI2- gate &' i Utjda -t- V.S P <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING C ADDITION'X DECK C GARAGE/ACCESSORY STRUCTURE El <br /> t <br /> BUNKHOUSE C 59.692(1V)GAZEBO C STAIRS C FILLING/GRADING C CAMPING UNIT C <br /> o <br /> COMMERCIAL BUILDING C COMMERCIAL ADDITION C COMMERCIAL ACCESSORY STRUCTURE C ° <br /> STRUCTURE/ADDITION USE: 41oluji4wrA /'1'!t. t r <br /> me m; ommeraa usinees; room; ec ; etc.) <br /> BUILDING CONTRACTOR: _ se- O <br /> ten,/tares, �rnt $ /SGS =^ v <br /> 09 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 81/2 X111SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLAITS_ 00 a <br /> WILL BE RETURNED. I O <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) O <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 n <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). `J w <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) G <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. y <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES OO <br /> TO BUILDINGS,ROADS, LAKE,LOT LINES. i In <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 W <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. y W <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEfI (,y <br /> NEEDED. <br /> (J <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: n 1 <br /> r 2 C O <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. z O <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. I� <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED.WITHIN THE REQUIRED WATER T— <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE%GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. S(4YUCt�f43 '> o o n > 0 'U <br /> v <br /> /. z " 33 ' 0 <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all d a a SE y <br /> information contained in this application(including any accompanying schedule)and I further declare that I recognize that this m r c°O < ' `d <br /> information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I <br /> further accept all liability that may be a result of the County of Burnett relying on this information I am providing in this '5 o H <br /> application. I agree to Dermit wu Pcials charged with administrating co ordinan other authorized person to have m Dva g w o <br /> access to the above-desttibed pr s at any sonable time f r the pur a of p ° . H <br /> 3 ,_ � '^ ygo�o <br /> OWNER'S SIGNATURE A n•Z m p _ O <br /> wC: : T9 xw <br /> ZONING ADMINISTRATOR ((��q� °c w' °_ C) tzl <br /> 101' JUL h 4 LW <br /> _ n <br /> TOWNSHIP PERMITS MAY BE REQUIRED — <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OFISSWMETTCOUNTY U Y u N= <br /> 008 <br /> ZONING <br />