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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator rt oz <br /> APPLICATION FOR LAND USE PERMITS _ <br /> a <br /> A OWNE it fT �.. �W� TELEPHONE `Jx,� 7-6.30t� n <br /> r i (C� !/ J R <br /> MAIUNGADD E55.5-7?`7 <br /> J <br /> PROPERTY ADDRESS CI_ <br /> �(OQ(Q hI/1 <br /> LEGAL DESCRIPTION < r Z,Tj 1(,d ` S <br /> SINGLE FAMILY DWELLING GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ STAIRS ❑ o ZP i <br /> TYPE OF PERMf f(5): 9 <br /> FILLING/GRADING❑ CAMPING UNIT 0 BUNKHOUSE 0 59.692(IV)GAZEBO O DECK O " <br /> STRUCTURE/ADDITION USE: ( �19ii✓ qab <br /> (Hom/e/Cabin-, Co//mmercial siness; Bedroom; Deck; etc.) o_ <br /> BUILDING CONTRACTOR: ISO <br /> ¢ <br /> s <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Va Xll SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS m ti Q <br /> WILL BE RETURNED. C G' <br /> C <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARLAL OR TOP VIEW) '"• <br /> '( a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. in <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, <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (8)BUILDING(S) r1 <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK I v <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(0)LOT DIMENSIONS. n c„ <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK (ST)AND DRAINFIELD(DF),AND ALL DISTANCES e <br /> TO BUILDINGS,ROADS, LAKE, LOT LINES. m' <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 <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> ti <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN .� <br /> NEEDED. ,� W <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: C W <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. x <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. B <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. aJ.- p r �L. 1 E <br /> 6. y,y Ae : �- �"u CCfMt�.Ttuag o� llcer(unx✓;"#-_ /�C✓, (A A"--41.TF ID ra���J •• F �na—> o <br /> 7. <br /> ter. �FC w3Tr <br /> I declare that this application(Nduding any attompanykg schedule)has been examined by me and to the best of my knowledge <br /> and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all information ' > <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 Is determining whether to Issue a permit. I further accept all <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 8-5 <br /> permit county of"charged with admkv b agng county ordinance or other authorized person to have access to the above ° o n <br /> described premises at any reasonable time for the purpose of k"pactlon. e n s ='> <br /> OWNER'S SIGNATU (date) 7 <br /> w co > <br /> ZONING ADMINISTRATOR < " <br /> TOWNSHIP P RMITS MAY BE REQUIRED <br /> ?) « <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE M € <br />