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I <br /> ~c <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER TELEPHONE��s_116)_.;2 <br /> MAILING ADDRESS <br /> �� � �� C D •�d � li-ra..n�S4✓.r t./1' S�/.3�/�/ r�t� <br /> PROPERTY ADDRESS <br /> � <br /> �I� I�S < v Xd <br /> LEGAL DESCRIPTION /1 If)I T3 qn -Rig <br /> WPE OF PERMIT(S): SINGLE-FAMILY JD(IWIELLLING ❑ ADDETION E DECK❑ GARAGE/ACCESSORY STRUCTUR <br /> BUNKHOUSE❑ 59.692(IV)GAZEBO❑ STAIRS❑ FILLING/GRADING ❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE❑ 3 <br /> )eShecC_ <br /> STRUCTURE/ADDITION USE: Pa1 <br /> (Home/Cabin; Commercial Business; Bedroom;Deck; etc.) � <br /> BUILDING CONTRACTOR: <br /> `z <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 V.X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS — <br /> WILL BE RETURNED. <br /> r _ <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) _ <br /> L 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 d c <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, J <br /> AND INDICATE NORTH(N). p o <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 C> <br /> (OHWM)OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. <br /> 9. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES W <br /> TO BUILDINGS, ROADS, LAKE,LOT LINES. -n <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. ITS <br /> 6. IF SEPARATE PIANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE 1 ` <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 /> C7 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: I - <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 /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 9. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER IYnU <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. £ <br /> 6. <br /> 7. _ z > r, cnn > or <br /> I declare that this application(including any accompanying schedule)has been examined by are and to the best of my e ~ _ - _ <br /> knowledged , p <br /> complete. I acknowledge g Mat I am responsible for Ne detail and accuracy all _ � � 2 <br /> an belief it is truecorrect and com <br /> information contained in this applicatlpn(including any accompanying schedule)and l fu ober declare that I recognize that this _ 3 <br /> information I am providing will W relied upon by the County of Burnett Wisconsin in determining whether to issue a permit I - — — > <br /> further accept all liability that may be a result of the County of Burnett relying an this information l am providing in this 7 — tn NT <br /> application. I agree to Permit county officials charged with adminirtranng county ordinances or other authonzed person to <br /> have access to the above dencibed premises at any reasonable time for the purpose of inspection. ' - > N N H (• <br /> OWNER'S SIGNATURE <br /> (date? ll LLSS y2 _ <br /> ZONING ADMINISTRATOR_ _ MA 013 - _ _ <br /> ` _ . <br /> TOWNSHIP PERMITS MAY BE REQUIRED BURNETT COUN <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE ZONING <br />