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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning AdministratorN Z <br /> APPLICATION FOR LAND USE PERMITS g Im <br /> OWNER Dp' TELEPHONE /71J zel 37/Z_ (A J✓1 C. �'lDc�ft C � Y <br /> MAILING ADDRESS o2SSb USO/„ it, 1h1Q4t1ta_ L _U/ �ra. U /4Lo27 <br /> < <br /> PROPERTY ADDRESS —TYAl-f UJ t�g 3U s <br /> LEGAL DESCRIPTION 4, v, <br /> Sec wig Zs Tix;5 �,� 44 ed� 1`l Wry s �. <br /> DWELLING/BUILDING-K GARAGE/ACCESSORY STRU@TURE ❑ AMITION ❑ TAIRS ❑ <br /> TYPE OF PERMIT(S): 1 <br /> FILLING/GRADING ❑/ CAMPING UNIT❑ BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ DECK ❑ `O <br /> STRUCTURE/ADDITION USE: (.2bin c <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) o �r <br /> BUILDING CONTRACTOR: ✓�.II" i^r ,S�I✓LAL- ;K Ir" <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 1h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS +f <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) I? R ° <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. d <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW H �° <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, 5. <br /> AND INDICATE NORTH (N). y <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) o <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK ` v <br /> (OHWM) OF LAKE, STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. ( \ o <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. n <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. n o <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE y <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. c <br /> R <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> > V�J <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n t <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. I� <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. I <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. p p <br /> >7. <br /> Rr" ^ � <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my knowledge c. 2' N C ,..) <br /> and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all Information ^ o <br /> contained In this application(Including any accompanying schedule)and I further declare that I recognize that this Information I <br /> am providing will be relied upon by the County of Burnett Wisconsin In determining whether to issue a permit. I further accept all Q U 8 U U 8 .0 <br /> liability that may be a result of the County of Burnett relying on this Information I am providing In this application. I agree to ^ m <br /> permit county officials charged with administrating county ordinances or other authorized person to have access to the above- 5 a n <br /> described premises at any reasonable Ime for the purpose of Inspection. n sr <br /> nII� �� � �_ \\� . Imo , -qz <br /> SIGN HERE <br /> (s1 a reof ow or bullding contractor) Oji j (date ' H ; S c = A <br /> ZONING ADMINISTRATOR AUG ZOO6 i c . <br /> TOWNSHIP PERMITS MAY BE REQUIRED BURNET i COUNTY <br /> 7�n�NNTNG <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE w 8 N <br />