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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator °, <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER TELEPHONE / �_,�Z'J! /� d <br /> (r71J tJI (7C/ <br /> V J <br /> MAILING ADDRESS <br /> 1 � <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION <br /> 4.07- /o,) <br /> S /,�T V.6" ' '.�/ <br /> ,! -�a,- �$ T���c(JIkJJ ��SDJ �TE <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING 0 ADDITION 0 DECK ❑ GARAGE/ACCESSORY STRUCTURE k' <br /> v <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRU URE ❑ o v <br /> STRUCTURE/ADDITION USE:/rf></b C(��/np�lf' GfCIS(j2/'✓f;' �(,t do( z <br /> (Home/Cabin, Commercial Business; Bedroom; Deck tc.) ° <br /> BUILDING CONTRACTOR: el e.2_ <br /> n <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o_ 1 <br /> WILL BE RETURNED. <br /> 4] C <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) r'I °- <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C O <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, a .a <br /> AND INDICATE NORTH (N). <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 Z 2. <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. I °'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. 3. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. h p �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. I <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN v l I <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> W <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. <br /> � z <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. '9 <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER G <br /> » , <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. 6Joaal Sher( bc. 10' From Sol/ AbfaW44;,. CC#.. <br /> 7. <br /> s > o 0 o C1 > O 'p <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of myv c 3 3 9 <br /> knowledge and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all 3 aL <br /> Information contained in this application(Including any accompanying schedule)and I further declare that 1 recognize that this c m D > w ti y <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to issue a permit. I a R n a= : Y <br /> further accept all liability that ma a result of the County of Bumett relying on this information I am providing in this � ' '° n 7 <br /> application. I agree to permit c n of icials charged with administrating county ordinances or other authorized person to have o m•°z �= o! o0 0 <br /> access to the above-tlescribed as at a asonable r urpose of Inspection. o g o <br /> iy <br /> OWNER'S SIGNATURE <br /> > <br /> n rR�' a rt o. So0 o y <br /> i- i n � > a. wh m ?f 0 <br /> ZONING ADMINIST R ss'C .'� �o a 5 Yy <br /> � u snr� <br /> MAY <br /> E REQUIRED <br /> THIS PERMITS ALL EXPIRE O ESYEAR FROM DATE OFISfUlbETT COL) r <br /> ZONING O � pOp <br />