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z <br /> o <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a <br /> APPLICATION FOR LAND USE PERMITS " <br /> C c <br /> OWNER \' TELEPHONE <br /> m O <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS O' <br /> o t <br /> LEGAL DESCRIPTION S <br /> 1.)fie. SGL 2� /HD 1 ILl _ b,rlVc� -- <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITIO ❑ DECK ❑ GA GE/A CES ORY STRUCTURE <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ T <br /> m (O <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ S' � <br /> STRUCTURE/ADDITION USE: o <br /> (Home/Gobi o mercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: <br /> +7 3 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PUNS 0 0 <br /> WILL BE RETURNED. <br /> 6 <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) p <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m n <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW t=7 ° <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, p <br /> AND INDICATE NORTH (N). c c <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK p, <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. C7 <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD (DF),AND ALL DISTANCES <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. I <br /> S. 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 c <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. U. <br /> 09 <br /> NOTE: BUILDING/STRUCR)RE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN ,..� <br /> NEEDED. C a <br /> THIS PERMIT IS SUaIECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 8 7y <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 /> " f � 0 0 0N A a <br /> 7 v tl <br /> R 6 <br /> � " RRa . 50a. _ i <br /> oxo . . moo , <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my a 0 " a.a..; a ' p t <br /> knowledge and belief K Is true,correct and comdete• 7 atkn edge that I am responsible for the detail and accuracy of all o m P_P_ P_ a <br /> Information contained In this apple Ing any acro nying schedule)and I further declare that I recognize that this c.> a W N <br /> Intormatlon I am providing sol relied upon th melt Wisconsin In detertnlning whether to Issue a perntt. I ,��, I <br /> further accept all liability may be a result Cou of B act relying on this Information I am providing In this 'L° c i^N: =N ' <br /> application. I agree to rmtt coumy ofllcial cin d admini ng county ordinances or other authorized person to have o .2 00 00 o o <br /> access to the above-d bed premises at ny le time for a purpose of inspection. to 5 iv 4 <br /> m SooSS <br /> > <br /> OWNER'S SIGNATU — sn > ' <br /> m n <br /> con m2=1 . <br /> (date) a g . <br /> ZONING ADMINISTRATOR I �7 (Cj 8 <br /> d: <br /> 61,to y r o: : : <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT StiAw C\ti,.i . NE . 1:=. F I.v;; <br /> N Q O <br />