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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS �. <br /> F n <br /> a <br /> OWNERI) R� e0E / ICK TELEPHONE �iS_�Q _115X70 <br /> a3— <br /> MAILING ADDRESS <br /> J`S /I /y .nA UI✓�R /�i 7�//S �j Qp�a V` <br /> PROPERTY ADDRESSN�UyflS�/S`� O 1 <br /> �O f9 / < <br /> LEGAL DESCRIPTION / Q 7'-- c� C" Vo I <br /> TYPE OF PERMIT(S): SINGLE--FAMILY DWELLING ❑J ADDITION ❑ DECK`e❑ A E(ACCESSORY STRUCTURE X L{i. <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING ❑ OMMERCIAL ADDrMON ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ Ic <br /> STRUCTURE/ADDITION USE: v i UG Tc v� 3� (0 <br /> (Home/Cabin; Commercial Business; Bed ; Deck; etc.) I�,L-a % <br /> BUILDING CONTRACTOR: �l� <br /> n � <br /> 96114,.+Q - NORfX LAAI,�( auiin/gr SEE i4WAc iW) o � <br /> A PLOT PLAN MUST PROVIDED ON AN 8 W X11 SHEET OF PAPER.'ANY INC PLETE OR ILLEGIBLE PLAT PIANS c <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARiAL OR TOP VIEW) '] <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 <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, C> a <br /> AND INDICATE NORTH (N). V N v" o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES, (B) BUILDINGS) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK W O <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D) LOT DIMENSIONS. (7Ju <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD (DF),AND ALL DISTANCES5 <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. B <br /> 5. 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 o <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. �, I <br /> t� I � <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN 1 <br /> NEEDED. <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: r <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 9 y <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 /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. "g > > <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my <br /> knowledge and bellef It is true,correct and complete. I edmorNedge that I am responsible for the demN and accuracy of all <br /> Information contained In this application(Inckidahg any accompanying schedule)and I furthw declare that I recognize that this <br /> Information I am providing will be railed upon by the County of Bumett Wisconsin In detrtn**V whether to Issue a permit. I .Z A w= y <br /> further accept all liability that may be a. it of the County of Bumett relying on this Bdonnation I am providing In this fis P r <br /> Ia�bov�e-dhsvibed Premiers an y to permit county offocials charged <br /> the WhP�county Inspeclon.ordimances or otlhe amMmorized person to have o 'apt § 0.:N <br /> access to the m 00 'J' m��NN W <br /> � Asdgg � gg � <br /> OWNERS SIGNATURE /dat�rern a e E§m �? <br /> ( zza,� r"�.0.59 'A <br /> ZONING ADMINISTRATOR �y(nE H ' $h N <br /> at <br /> WNSHIP PERMITS MAY BE REQUIRED 6 �' <br /> 9a <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE N»« .2 <br /> .J �8oao8 <br />