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z <br /> � o <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator03 <br /> APPLICATION FOR LAND USE PERMITS a <br /> / a <br /> OWNER a{, YCUD TELEPHONEj�,S CRSrc —'y(J� <br /> MAILING ADDRESS d lrO-ft RID Zj,¢11J,64 • <br /> PROPERTY ADDRESS (51 <br /> D b - C aw vim <br /> LEGAL DESCRIPTION Jcal <br /> T <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION DECK❑ GARAGE/ACCESSORY STRUCTURE �. <br /> BUNKHOUSE❑ 59.692(1V)GAZEBO❑ STAIRS❑ FILLING/GRADING ❑ CAMPING UNIT❑ ' <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE❑ S <br /> STRUCTURE/ADDITION USE: F.3/N ,L7,EG�� 4— (9,48 6F (31 <br /> _ c <br /> (Home/Cabin; Commercial Business; Bedroom; Deck;etc.) �- <br /> BUILDING CONTRACTOR: <br /> O � <br /> X: < <br /> O <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'/z X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS .n ° <br /> WILL BE RETURNED. -n <br /> n a <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) d <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <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, �I 3 <br /> AND INDICATE NORTH (N). O N fJ <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDINGS) Y YJ '- v <br /> ^° <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK S' <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. 5>,j 5a <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. C <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR,ETC.,THE j <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 SUB3ECT TO ALL CONDITIONS LISTED BELOW: m (� <br /> m <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. o <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER � <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. <br /> 7. n 'A Dnnnn DO 'o <br /> H c <br /> x z 0 . 77 <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my 6 . 3 3 0 <br /> p � E 3 R R <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all m . E. E. a <br /> information contained in this application(including any accompanying schedule)and I further declare that I recognize that this f° E. D W <br /> information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I w ? $E:'t, <br /> Y <br /> further accept all liability that may be a result of the County of Burnett relying on this information I am providing in this c 'p\o q : ` bn S <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to rn C1 n : ^'; <br /> have access to the above-tlescribed ises at any re able ' e Por the purpose of inspect o > w N w n <br /> OWNER'S SIGNATURE / 'zf c o 00 0 0 0 0 <br /> (date) <br /> D 0 Q 6 E 2 <br /> ZONING ADMINISTRATORJU <br /> N 19,201 <br /> e � � plTl <br /> OWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUA o <br /> 9CIRNETT COON <br /> ZONING <br /> ° 0000 <br />