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z <br /> Burnett C unty 7410 County Road K, No. 102, Siren, WI 54672 Office of Zoning Administrator g � <br /> APPLICATIONAOR LAND USE PERMITS G, n <br /> OWNER V.& TELEPHONE a <br /> a <br /> I a <br /> MAILING AC)DRESS � 6 <br /> PROPERTY ADDRESS <br /> LEGAL DESRIPTiON t <br /> TYPE OF PER"S): SINGLE-FAMILY DWELLING O ADDITIONA DECK O GARAGE/ACCESSORY STRUCTURE 0 m _ <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS O FILLING/GRADING 0 CAMPING UNIT O <br /> COMMERCIAL BUILDING CO ERC IAL D ONO COM ERCIAL CCESSORY UCTURE 0 c <br /> a <br /> STRUCTURE ADDITION US 4.i c <br /> (Rom Cabin; mmercial B_; ass; ; D ; tc.) <br /> BUDDING CpNTRACT R �, O <br /> IA <br /> 1 c y <br /> A PLOT PLAN MUSTISE PROVIDED ON AN 8'h X11S6 <br /> ET OF PAPER. INCOMPLETE OR ILLEGIBLE PLOT PLANS o <br /> WILL BE RETURNED. I <br /> o <br /> DIRECTION FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) n '• <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. G <br /> o <br /> 2. SH iW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW <br /> BUI INGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, .a <br /> AN I INDICATE NORTH (N). <br /> 3. SH IW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) <br /> TO ENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK o' <br /> T <br /> (O M) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. C d O <br /> 4. SH W THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES <br /> TO IUILDINGS, ROADS, LAKE, LOT LINES. 3 ti <br /> S. IND CATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF S EPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE •f o J <br /> PLA S MUST BE SIGNED AND DATED BY THE OWNER. V , ^ <br /> V v+ <br /> NOTE: BUI ING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN ) <br /> NEE ED. I'••I <br /> THIS PERM IS SUBJECT TO ALL CONDITIONS LISTED BELOW: m �, <br /> 1. DRI/EWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n <br /> 2. REOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. z <br /> 3. NO 3RADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. 0 ti x J <br /> 4. NO UCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SET 3ACK AREA. <br /> 5. ACC ESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> N01 TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. <br /> ^ xlannn � <br /> n n n o 0 0 8 tyi <br /> I declare thatLs application(including any accarnparuying schedule)has been examined by me and to the best of m <br /> klowiedge and bdlef It Is true,correct and complete. I acknowl y <br /> edge that I am responsible/or the detail end accuracy of NI c to <br /> Information caritalned In this application(Including any accompanying schedule)and I further declare that I recognize that this <br /> Information I a providing will be relk >> m <br /> d upon by the County of Burned Wisconsin In determining whether to issue a permit. I m S R > to^ <br /> further accept 141 liability that may be a result of the County of Burnett rely"on this Information I am providingIn this m ' w =»n <br /> application. i to permit county olMclals charged with administrating county ordinances or other authorized person to have n o o 8 1- <br /> access to thea described premises at aur onable time for the purpose of Inspection. o a 8 n <br /> m <br /> > " a <br /> OWNER'S SI NATURE n baa. c$ <br /> ZONING ADMINISTRATOR <br /> d cur : o n@9 <br /> o, P, <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISS9 ETTCOUNTY <br /> I�P,l7n-4 4 je } Wr rnat-Vd -FD OT*- S� ZONING V Dy Lc <br /> a»�� <br /> N N O O O O O <br /> /D-7 - I O <br />