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z <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator a ° <br /> APPLICATION FOR LAND USE PERMITS r <br /> it <br /> a n <br /> a <br /> OWNER I TELEPHONE !��O'/� _f/ v <br /> o --Zl OtIl9 `7 <br /> MAILING ADDRESS GTK lip— O O <br /> 11 <br /> PROPERTY ADDRESS o <br /> m <br /> LEGAL DESCRIPTION ° <br /> w <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK❑ GARAGE/ACCESSORY STRUCTURE �. <br /> BUNKHOUSE❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> ill <br /> STRUCTURE/ADDITION USE: Dn <br /> ome a In; Omm <br /> erna usl r m; Deck;etc.) <br /> BUILDING CONTRACTOR: <br /> O � <br /> 77 < <br /> 0 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 V:X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS � <br /> WILL BE RETURNED. <br /> (; a <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) C v <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 Cy <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). o Z <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 I P9 <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. Cq <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES 1 <br /> TO BUILDINGS, ROADS, LAKE,LOT LINES. <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. "I <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR,ETC.,THE <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> 1 I <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSTrE VERIFICATION MY BE DONE WHEN <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. V Z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. I� <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, annnnaow <br /> a <br /> 33 <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my o,°�� On Mf R U ? w= a <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 =. D m N <br /> information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. IE:a 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 c w= 7 i^ .00 <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to 8 ? rrr <br /> have access to the above-described pr 'ses at any reasonable time for the purpose of inspection. �/ � A g w n <br /> OWNER'S SIGNATURE — l— cJ.—U § 88 "3 <br /> .. <br /> T (date) <br /> cL <br /> ZONING ADMINISTRATOR v' '' o�Ej <br /> o O <br /> AUG 4 20 <br /> TOWNSHIP PERMITS MAY BE REQUIRED '_ <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCEBURNETT CO N 8 <br /> ZONING <br /> NS888 - <br />