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9 z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a ( <br /> APPLICATION FOR LAND USE PERMITS V. <br /> Q ' 1a <br /> OWNER Qre (Yl /J to/�( /� Cl/ TELEPHONE <br /> 1 1 '�r r ✓y V�(n I' ` LQ� <br /> MAILING ADDRESS / M �Dn�=Y( V/ V' Pa 14�I fn A) <br /> PROPERTY ADDRESS <br /> r <br /> LEGAL DESCRIPTIONAr <br /> TYPE OF PERMrr(5): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK ❑ GARAGE/ACCESSORY STRUCTUR _ a <br /> BUNKHOUSE O 59.692(1V)GAZEBO O STAIRS O FILLING/GRADING O CAMPING UNIT O <br /> v <br /> COMMERCIAL BUILDING O LC,O'MMERCIAL ADDITION O COMMERCIAL ACCESSORY STRUCTURE O <br /> STRUCTURE/ADDITION USE: r 4— z <br /> 0 <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) )(J <br /> BUILDING CONTRACTOR: <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 1/2o X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C _ N <br /> WILL BE RETURNED. g` <br /> n <br /> N 6 <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) m 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 3 <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, G a <br /> AND INDICATE NORTH (N). N o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) r �} <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK O(OHW <br /> MOEFLAKE, STREAM OR RIVER LOCATION OF THE WELL(W),OCS PTITANKND (T)ANDDDIMENSIONS. <br /> DRAINF ELD (CF),4. SHOWTHE AND ALL DISTANCES q- W <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. 91) <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. r <br /> 6. IF 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 <br /> NEEDED. U�)1 <br /> I <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> A <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. C7 <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. p <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER J <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. O <br /> 6. <br /> ^ � an n nc) aoro <br /> T n c 0 0 m 0- p <br /> 7. 0 n ; 333g ? 0 M <br /> H 7 o 9 3 El 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 allcL m <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this c `— o a m N y <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 <br /> application. 1 agree to permit county officials charged with administrating county ordinances or other authorized person to have c v <br /> access to the above-described ises at y ason a-tithe for purpose of inspection. ^ <br /> ��f/1 �I I g �Tl 6 <br /> 7- [� - a <br /> 21 <br /> OWNER'S SIGNATURE (date) <br /> �'� n <br /> ZONING ADMINISTRATOR \31 M 1 Flan( ) F N d m <br /> TOWNSHIP PERMITS MAY BE REQUIRED ^ <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> IC(�Yi �G '�� � S000S <br /> P��m � 41��'� rp�ckPdu.�' IhvP y <br />