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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator v ! a <br /> APPLICATION FOR LAND USE PERMITS _ <br /> OWNER TELEPHONE <br /> E�aA�sF F SMl.`�A)Q acs-,gsy-fLss <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS 8-;72— <br /> LEGAL <br /> SJZLEGAL DESCRIPTION <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK ❑ GARAGE/ACC SSORY STRUCTURE <br /> / Sans/ <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ElSTAIRS CIFILLING/GRADING EI CAMPING UNIT❑ <br /> COMMERCIAL BUILDING ❑// COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> STRUCTURE/ADDITION USE: <br /> (Home/Cabin; Commercial Busiu <br /> iness; Betlroo//m;)Detk; etc.) T <br /> BUILDING CONTRACTOR: S IfV'/1� y i/ /XJ 5- v (sxlj <br /> r � <br /> A PLOT PLAN MUST BE PROVIDED ON AN B'A X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS F o <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. O <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB) AND ALL NEW w �' <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, v 9 <br /> AND INDICATE NORTH (N). 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 <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. p C� <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. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. -L <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE i <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. - <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBIECr TO ALL CONDITIONS LISTED BELOW: <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. 1 F <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. c' <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER -IT� <br /> SETBACK AREA. P:) <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. Ynn Co > cm <br /> I Bowled Mat MI5 apptation ,corrainp any ammpanI aci schedule)has been respon ed by me and to the best of my <br /> ImaNedpe and belief h tt true,carte¢end complete. 1 acknowlMpe that 1 am responsible for the detail and smracy of all <br /> Information contained In this application(Including any ammpanying s e Tule)and I further declare that I reoognlbe that MIs <br /> Information 1 am pnwkiJng will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit 1 <br /> Muer accept all liability that may be a result of the County of Burnett relying on this Information I am providing In this <br /> application. i agree to permit county officials MaM4wnh admIlnistrating county ordinances or otherth <br /> auortted person to have <br /> ov <br /> access to the above-described p ses at any reaMrieble tin }or the purPose of InspetUon. <br /> �t // - Irrytt ft couQocD <br /> OWNER'S SIGNATURE 1/r[/ ILII Po ` o c � <br /> U - coop-n0 <br /> ZONING ADMINISTRATOR s P m <br /> -MAY-1-5-2014 m m <br /> TOWNSHIP PERMITS MAY BE REQUIRED TC _ <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUAN ZONING COOU <br />