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;.7L <br /> 3 <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNERTELEPH <br /> G / E <br /> N�vv <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION a� /Z/ �/� ,XG7 <br /> .✓/ tel/ / /�«Gc� ZO-�//.3�=0/-/,JO <br /> TYPE OF PERMTr(g): SINGLE-FAMILY DWELLING ❑ ADDITIONEI DECK❑ GARAGE/ACCESSORY STRUCTURE J$' <br /> BUNKHOUSE❑ 59.692(IV)GAZEBO❑ STAIRS ❑ FILLING/GRADING❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING❑ MMERUAL ADDITION 13 COMMERCIAL ACCESSORY STRUCTURE 11 <br /> �`�l' <br /> STRUCTURE/ADDITION USE: tHomn;/ /d/YI LN/f� <br /> 7�(t- Commercial Business; etc.) <br /> BUILDING CONTRACTOR: - <br /> � 3 <br /> z <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Vz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. " <br /> n_ <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) S <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 CT r <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, V 2 <br /> AND INDICATE NORTH(N). <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 MEASUREMENTS)TO THE ORDINARY HIGH WATER MARK r <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 ,r <br /> TO BUILDINGS, ROADS,LAKE, LOT LINES. (, <br /> I. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. d <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR,ETC.,THE t <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEN I L/hl <br /> NEEDED. U( V <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: ) v QJ <br /> L DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <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. <br /> 4. NO STRUMRES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. p� <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. £ <br /> 6. <br /> 7. <br /> F ? r. c ^ <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my F Z j <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all <br /> information contained in this application(including any accompanying schedule)and I further declare that I recognize that this = > > � {°, ' <br /> information I am providing will the relied upon by the County of Bumett Wisconsin in determining whether to issue a permit I E __ <br /> Further accept all liability that maybe a result of the county of Burnett relying on this information 1 am providing in this <br /> application. I agree to Permit county officials charged with administrating county ordinances or other authorized personor _ - < 8 <br /> have access to the above-desari ices at any reasonable time for the purpose of inspection. _ <br /> U _ > <br /> OWNER'S SIGNATI - - _ <br /> ZONING ADMINISTRATOR ^-P <br /> -JUL-1-1-209--JUL-1-1-209- _ <br /> U -t—z0»— = T <br /> `aT <br /> TOWNSHIP PERMITS MAY BE REQUIR - e - <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE O MN!(t7dECOUNTY -_ <br /> ZONING - <br />