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Z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g <br /> APPLICATION FOR LAND USE PERMITS " <br /> ib3-zy\-3`�\t <br /> OWNER TELEPHONE t"f- �b'3- 2Vt-6-js2 a <br /> �o: . .eC.IkRec-\ <br /> � + N ecc, �- mtz -mitis -Szao d <br /> MAILING ADDRESS .. <br /> c(b�l� C7o.c�ati pa¢ NES (Jf5eraa rnN 5533D <br /> PROPERTY ADDRESS e6b43 U-r•Jp` <br /> o� <br /> LEGAL DESCRIPTION _j., �- <br /> S C S M U \D 2-4-25 <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK ❑ GARAGE/ACCESSORY STRUCTURE ❑ <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT 9 <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ c <br /> STRUCTURE/ADDITION USE: cc---Ra(- (o C^ 2.0 \Z- /" Z <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> P <br /> BUILDING CONTRACTOR: <br /> n <br /> o � <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 th X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C o <br /> WILL BE RETURNED. <br /> n a <br /> DIRECRONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) to <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, G v <br /> AND INDICATE NORTH (N). 7� 1 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDINGS) IO <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. b <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST) AND DRAINFIELD (DF),AND ALL DISTANCESSL <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <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 3 <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 SUBJECT TO ALL CONDITIONS LISTED BELOW: Q� <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n Z b <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. i <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER Q —' <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. Cy <br /> NOT TO BE USED FOR HUMAN HABITATION. C� <br /> zo2 � oo � <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my g p q 2". <br /> knowledge and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all g ' m R. RL <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this ; E.9 <br /> Information I am providing will be relied upon by the County of Bumett Wisconsin in determining Whether to Issue a permit. I m c R <br /> further accept all liability that may be a result of the County of Bumett relying on this information I am providing In this 9. H ;,, , .`�!'2 n 'V <br /> application. 1 agree to permit county officials charged with administrating county ordinances or other authorized person to have c n t' <br /> access to the above-described premises at any reasonable time for the purpose of Inspection. c 88 : <br /> to oe5 t�l�4 „N`w�' rf�7 <br /> a LL <br /> L. R 6 O W to O g li <br /> OWNER'S SIGNA R A ° s o 0 0 o ryi <br /> n to 9 'c:mn ymO <br /> ZONING ADMINISTRATOR \J I I w S t'�7iy <br /> .'J 6 <br /> TOWNSHIP PERMITS MAY BE REQUIRED p� <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE Of. RNA COUNTY "" ^ <br /> �LIIO�� V " Nb9ybf_ <br /> NING <br />