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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g <br /> MAPPLICATION FOR LAND USE PERMITS y: N py7' <br /> OWNER V 1'6��wS2'�� TELEPHONE -� (Sr _2.S9 _ 3wo d /" <br /> 1� O <br /> MAILING ADDRESS A p 5.� ��L _ n n Gc /y ( f c Jb I.A� Mk) 5 5 4 3 <br /> fir+ c-t" IC�,CJt U �CJ� C_ R <br /> r <br /> PROPERTY ADDRESS Zcl S 610 I` <br /> 1 <br /> LEGAL DESCRIPTION r "� <br /> c_ <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ 15�1+ GARAGE/ACCESSORY STRUCTURE J <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ 4 <br /> COMMERCIAL BUILDING/❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ o � <br /> STRUCTURE/ADDITION USE: y1 w''Kge Z `p <br /> CGd o <br /> (Home/Cabin; �^mmercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: 1 C'c" k- `nr uC_4n `V\L . r <br /> O b <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 r/z X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: CARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. c d <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW m 'O <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, El <br /> AND INDICATE NORTH (N). N Z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) o o <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. Oo O <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST) AND DRAINFIELD (DF), AND ALL DISTANCES n <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. 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. O <br /> ' 0 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. Cy O <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: 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. QQ 8 Z O <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 YY <br /> SETBACK AREA. C_ /'- <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. T� <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7• a 'A D o 0 o C� 9a Z; -0 <br /> R � " gg 33 � nm tr1 <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my g o <br /> knowledge and belief It is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all o. WRL 'w'w m :,3 <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this E. a <br /> Information I am providing will be relled upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I d „ $ ,.d <br /> further 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 charged with administrating county ordinances or other authorized person to have <br /> access to the above-described remises at any asonable time for Me purpose of inspection. o o o N W f1 <br /> 3 A n D o 00 0 0 o y <br /> G��O.S/�� .- rs <br /> OWNER'S SIGNATURE <br /> nv, a ` m�Qe- O. <br /> (date) <br /> ZONING ADMINISTRATOR�(,/ 1 ` �"I"Lh y (TIF _ 5 <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE " N <br /> �/ma-I-�- [P��(h,�tZP�tD P�Conslr-(,�C>Lion <br />