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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g P, <br /> APPLICATION FOR LAND USE PERMITS )WN <br /> n o <br /> OWNER/J /� G TELEPHONE <br /> 111 ��h fyy�Sl 7/�3 7r313�2. _o <br /> MAILING ADDRESS / 0 <br /> j i( � y/ �� ^ <br /> �/, i 4 <br /> PROPERTY ADDRESS ,2y/ Q n0 _ _ f D <br /> Su <br /> LEGAL DESCRIPTION / O\ )�� <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING^ ADDITION ❑ DECK❑ GARAGE/ACCESSORY STRUCTURE ❑ {Ic <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ I <br /> COMMERCIAL BUILDI ,,��❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ c ^� <br /> STRUCTURE/ADDITION USE: [J(/Y(�, z <br /> (Hom f bm; Commercial B s'ness; Bedroom; De ; etc.) <br /> BUILDING CONTRACTOR: <br /> m � � <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Vz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C 0 <br /> WILL BE RETURNED. — <br /> '� o <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C O <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, El <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B) BUILDINGS) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM) OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. G <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES q_ <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. u, <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 E <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 y <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS.OF PERMIT. n <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 8 za <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. l <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER f\ <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITAT ON. <br /> 6. x'151-(� c C7✓11� O' 'SL�L(,�.f' )�/] L� ZSY') F <br /> 7. 0, �. e.r , > � aovo <br /> ° z <br /> M , <br /> [declare that this application(including any accompanying schedule)has been examined by me and to the best of my 3 °� Fl = <br /> knowledge and belief It Is true,correct and complete. I acknowledge <br /> at I am responsible for the detail and accuracy of all g m= <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this ,� E.9 >m <br /> m Issue a permit. >t = a <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 have ^ O,°2 <br /> access to the above-described p Ises at any reason a7timr the purpose of Inspection. B $8DjlmOWNER'S SIGNATURE /�(//j,.Q(� g= <br /> e " y co <br /> (date) n can O <br /> T n o,oc � 4� = x <br /> ZONING ADMINISTRATOR �-/IrM � r � RR <br /> / <br /> ^ t+1 <br /> TOWNSHIP PERMITS MAY BE REQUIRED n w <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF IS COUN 2 3 2009 <br /> tVn IJi00000 <br /> BURNETT COUNTY <br /> ZONING <br />