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b z <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator ? u <br /> APPLICATION FOR LAND USE PERMITS N <br /> 7 � <br /> a <br /> OWNER i Q �j ( y�Ey TELEPHONE <br /> 1"` r I!/ 7 J ✓ m <br /> O <br /> MAILING ADDRESS <br /> J C O VTk S. �-f ��I MIL/ <br /> II 5505 ^ <br /> PROPERTY ADDRESS g p Va ll OLw l`pr1v e k- J D <br /> SR R <br /> LEGAL DESCRIPTION PP-/ Ns 91&A 01C fll�j�.7 �o'f .. �f\ )/�/ZN INI iN O• ���sJ -� <br /> L►} / etk- W E yel O AC <br /> TYPE OF PERMIT(S): SINGLE-FAMki-i"DWELLING ❑ ADDITION ❑ DECK❑ GARAGE/ACCESSORY STRUCTURE g. <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO❑ STAIRS ❑ FILLING/GRADING❑ CAMPING UNIT❑ <br /> P _s <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURED <br /> STRUCTURE/ADDITION USE: (;a r`~S � <br /> ' OI ! ,X c7 ©l PTi ac,*e J J u <br /> (Home/Cabbiin;DCotmmercial Business; Bedroom; Deck; etc.) <br /> � <br /> K gf, <br /> BUILDING CONTRACTOR: I 1 )! q,4 S - / <br /> is / se( P) <br /> O <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'/z X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. 'n m <br /> rj a <br /> DIRECTIONS FOR PLOT PLAN DRAWING (ARIAL OR TOP VIEW) � d <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m � � <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW J3 <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> 9 <br /> AND INDICATE NORTH (N). C> o Z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B) BUILDING(S) SL) ,g' <br /> TO CENTERLINE OF ROAD,(C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK Y p0 <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)L0-DIMmSIONS. -O' <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES IN C> <br /> TO BUILDINGS, ROADS, LAKE,LOT LINES. <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. �� c <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. b <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: �) x <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. m z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. A <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. E <br /> 6. <br /> 7. r'>, o 0 onc> <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 <br /> information contained in this application(including any accompanying schedule)and I further declare that I recognize that this D m <br /> information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I m c $ = Y <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 <br /> have access to the above-described premises at y reasonable time for the purpose of inspection. ° m o Asn s�u A <br /> OWNER'S SIGNATURE / "'r �a n n n rpm 00 0 0 0 0 <br /> (date) <br /> via moo _ <br /> ZONING ADMINISTRATOR <br /> JUL 2 7 NII <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISStt r-, ETT COUNTY <br /> � � 0000 � <br />