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c <br /> a <br /> Burnett County 7410 County Road K,No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS lT <br /> OWNER _/ TELEPHONE <br /> CNv UU 11 V`7V ( ^ O <br /> MAILING ADDRESS <br /> 4lI (�I 1 1 G <br /> PROPERTY ADDRESS `ia i I, UI V�2-GIS -tiY Skj LAA ) S p- � <br /> S <br /> LEGAL DESCRIPTION T AyaesSSs ( —r � L to LW 3 i,.,�a1k7.� <br /> iFl v <br /> TYPE OF PERMIT(S): SINGLE-FA14ILY DWELLING WY ADDITION ❑ DECK❑ GARAGE/ACCESSORY STRUCTURE❑ E. <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ ,a <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY UCTURE ❑ -(.� S 2. <br /> STRUCTURE/ADDITION USE: 10 <br /> ome m;L0111mercial Business; roo ec ;e . �. <br /> BUILDING CONTRACTOR: & , <br /> ,N I6A -C Ca�n1'Tvttr cJ\ y <br /> �26-7S— albs SrQeo, Coynstrxk lyZ S`�tgab °z <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 11 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) C 0 <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES D BE SHOWN OR DRAWN TO SCALE. <br /> 2. SIZE OF ALL UCTURES(EB) ALL NEW o <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, N ,j <br /> AND INDICATE NORTH(N). c Z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDINGS)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 Ei. rn <br /> TO BUILDINGS,ROADS,LAKE,LOT LINES. a <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. o v <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. ) r�^) <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN y l ' <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: x <br /> n Q <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. 2 <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. z �, <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. d <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER 0 <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL ARAGE/STORAGE ONLY. <br /> NOT <br /> T TO BE USED FOR HUMAN HAB� ATION. <br /> 6. v va�r C46ti o� `b � De <br /> Nc <br /> annnc aoro <br /> 7. a <br /> F 53 <br /> x 2 0 � � o <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my 3 0 ,� F' 8 8 ? w <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all a ip = <br /> Information contained In this application(including any accompanying schedule)and I further declare that I recognize that this E. D m N <br /> information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to issue a permit. I ? c a w'= 7 <br /> further accept all liability that may be a result of the County of Burnett relying on this information I am providing in this <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to ° n = �, <br /> have access to the above-d ny reasonable time for the purpose of inspection. °m D g w s,�> <br /> OWNER'S SIGNATURE -L A c c 880 go g <br /> (dais 1 <br /> D <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERMITS MAY BE REQUIRED MAY 8 2012 <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF 3 UANCE <br /> BURNETT COUNTY <br /> 6 U U U O <br /> ZONING 8 <br />