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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator N o c <br /> APPLICATION FOR LAND USE PERMITS g . <br /> n ( o <br /> OWNER TELEPHONE &S -,-63 D(� <br /> MAILING ADDRESS (/( <br /> Z( I I 1( rway �i rite rJr. I rM S/ /b <br /> PROPERTY ADDRESS 20b-7,1 <br /> ID <br /> LEGAL DESCRIPTION do fT <br /> TYPE OF PERMIT(S): <br /> DWELLING/BUILDING O GARAGE/ACCESSORY STRUCr ADDITION O STAIRS O S 5 <br /> .� <br /> FILLING/G/RIADING O CAMPING UNIT O BUNKHOUSE O 59.692(IV)GAZEBO O DECK O I 4- <br /> STRUCTURE/ADDITION <br /> STRUCiURE/ADDITION USE: I -C/IC,i.�iP �G17� p� "r ()}�(tJ LtJ'� 1.� �y') l^ Z <br /> /I (Ho /Cabin; CommercialBusiness; Bedroom; Deck; etc.) o 9 <br /> BUILDING CONTRACTOR: <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Vz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C 3 4 <br /> WILL BE RETURNED. <br /> 0 <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) 0 2. <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. to I q <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW <br /> BUILDINGS/STRUCTURES (NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) c <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK a3 <br /> (OHWM) OF LAKE, STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. c w z <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF), AND ALL DISTANCES 2 <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. w' <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. S? Pj c <br /> 6. 1F SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE a. <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 r <br /> NEEDED. � ti <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> Y O <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. r. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. n a <br /> I <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. ot I Q <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <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. <br /> ` A <br /> 7. ! qg Er <br /> 1 declare that this application(Induding any accompanying schedule)has been examined by me and m the best of my knowledge <br /> and belief It Is true,correct and complete. I acknowledge that i am responsible for the detail and accuracy of all Information e g <br /> contained In this application(Including any accompanying schedule)and I further declare that I recognize that this Information I d K . <br /> am providing will be relled upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I further accept all c r+H„�^, ^+ 7 <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 n 8 8 tM <br /> permit county oRldt arged with administrating county ordinances or other authorized person to have access to the above- o <br /> s af1 <br /> described p y reasonable time for the purpose of Inspection. m <br /> SIGNRE 4 5d- <br /> (sign n of owner or build contractor) (date) C v g >_. <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERMITS MAY BE REQUIRED H' w <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE N 8 u o <br /> TZrmJ� lei— r maiM 4-o eeio -R6oho <br />