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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator ; c <br /> APPLICATION FOR LAND USE PERMITS g �j <br /> N l� <br /> / <br /> OWNER �C `2 R 7 )I TELEPHONE 1 �} <br /> MAILING ADDRESS l CY D <br /> PROPERTY ADDRESS/ / <br /> n.2 Q Quisson <br /> a <br /> LEGAL DESCRIPTION g m A <br /> 5 <br /> SINGLE FAMILY DWELLING 0 GARAGE/ACCESSORY STRUCTURE 0 ADDITION ST S 0 R 0 <br /> TYPE OF PERMIT(S): � 4 <br /> FILLING/GRADING 0 CAMPING UNIT 0 BUNKHOUSE 0 59.692(1V)GAZESO 0 DECK 0 <br /> STRUCTURE/ADDITION USE: I c � <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) S <br /> BUILDING CONTRACTOR: r� <br /> A PLOT PLAN MUST BE PROVIDED ON AN B V2 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. enl I 0 <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW y <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, m 'O <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B) BUILD NG(S) c <br /> TO CENTERLINE OF ROAD, (C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MAR a3 <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. o �' 'Z <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES �. c <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. w' <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. G c C <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC. THE n 3 ti <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> —i <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE III HEN Uj <br /> NEEDED. <br /> In <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: C' <br /> z C <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. n <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. I- n <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER Ili'h^ c <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE NLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. E <br /> 6. <br /> FAM 195 7. A 6� <br /> 1. <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the bast of my know) e Z w x w y <br /> and belief It B true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all Information e gg <br /> contained In this application(Including any accompanying schedule)and I further declare that I recognize that this informatin I <br /> am providing will be relied upon by the County of Bumett Wisconsin in determining whether to Issue a permit I further a=)t all <br /> liability that may be a result of the County of rnett retying on this information I am providing In this application. I agree bc 8 <br /> permit county ofAClaLs charyad cal administra unty ordinances or other au parson to have access to the abo <br /> described premises at any naso le time for rpose W Inspection. m o rn%__r. y <br /> * s.R_ � <br /> OWNER'S SI RE <br /> / (date) y' 'O S 1> .orf <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERMITS MAY BE REQUIRED G _» <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE G N 8 N o <br />