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` 1n <br /> 611 <br /> a o <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g <br /> APPnLICATION FOR LAND USE PERMITS p <br /> 0 NER G 1 Wfl' of 61 mss» TEL11 0 <br /> MAILING DRESS fl' , <br /> Vel 'le xt[ lo24b V lla., Vm ';U #1471 EAR picvir e r Myo S'SSL1q <br /> PROPE§g 94 ES Kmv5L2 )s1T S`14O) f <br /> LEGAL DESCRIPTION r <br /> 7 xa oP '• W'�y aF S�Illu ,C Set I�.`fieq �O Q 1>} SSCP or4�-.c�.e..� <br /> TYPE OF PERMIT($): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK ❑ GARAGE/ACCESSORY STRUCTURE ❑ <br /> O <br /> BUNKHOUSE ❑ 59.692TV)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ ,a <br /> COMMERCIAL BUILDINGEl COMMERCIAL ADDITION El COMMERCIAL ACCESSORY STRUCTURE.M <br /> , <br /> STRUCTURE/ADDITION USE: WineAoSS IXMM(I yljr<}{LI'IS IOWC(' Z <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: I ,I[L• <br /> n <br /> C 5 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS a o <br /> WILL BE RETURNED. 0 _ <br /> r <br /> w <br /> DIRECTIONS FOR PLOT PIAN 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 m n <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, o a <br /> AND INDICATE NORTH (N). N m Z <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 2 <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. <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. <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 :i� ' <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. <br /> O <br /> THIS PERMIT IS SUB]ER TO ALL CONDITIONS LISTED BELOW: ^� r, j <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE g F <br /> 3. NO GRADING ES SNCLUDING ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. d I_ <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. <br /> 6. F <br /> 7, app 90 OnpDGS <br /> - z <br /> Ideclarermled that MIs apPliciddon tson (Intlutlingany ampme. Iacnowle le)has been examinede fineandtol and accuracy <br /> my <br /> knowledge and teller tt Is one,mrtect and complete. I acknowledge MM I am responsible er the detail antl co,mry or all m <br /> information cantI am lredproviding <br /> In this application(including any acccounty <br /> Of Burnett <br /> trWiscon)and I further ngdedar,wha that I issue u that this E_ <br /> Information I am providing will a rolled upon by the County of Bumetl W yang on in determining whether to Issue a his I <br /> furtheraccept all liability Matmaybea msult dalsof m county o/Burned trelying tythis am saroI rap olE In this _ m rt G �^N t <br /> access W t I agree to pertnK minty s at <br /> n reasonable <br /> time <br /> inifor the pg minty onlinanms or other authodzetl person m have u.j <br /> access m the above-tlesattM premises at any reamnatle time far the purpose of Inspection o <br /> Ag a a y v W Y <br /> OWNER'S SIGNATURE / ? G E ca n o m p. ,C27, Z <br /> ZONING ADMINISTRATOR �G /�jl/ tlate) f� ° n td <br /> B J <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE _ _ <br />