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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator P 3 <br /> APPLICATION FOR LAND USE PERMITS = W <br /> /1�'11 A�I✓� `� �SAu <br /> TELEPHONE <br /> aOWNER CI <br /> G <br /> CPMAILING ADDRESS T � qpT��14 Nj- yP`g MA57 /O9 <br /> PROPERTYADDRESS <br /> LEGAL DESCRIPTION r <br /> o <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING D ADDITION D DECK D GARAGE/ACCESSORY STRUCTURE I ^l 5 <br /> BUNKHOUSE D S9.692(1V)GAZESO D STAIRS O FILLING/GRADING D CAMPING UNIT D Iv" <br /> COMMERCIAL BUILDING D COMMERCIAL A/D�DIITION D COMMERCIAL ACCESSORY STRUCTURE D S' <br /> STRUCTURE/ADDITION USE: V/0 7 vLa_ &Iz <br /> - (Home/Cabin; Commercial Busines droom; Deck; .) ' (� <br /> BUILDING CONTRACTOR: C� o <br /> 0 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yi X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS Co <br /> WILL BE RETURNED. - ,h p <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) G a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C <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, v <br /> AND INDICATE NORTH (N). r '1 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) o W o <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK w' <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D) LOT DIMENSIONS. p <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. <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 <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 y W <br /> NEEDED. Y✓ <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: .,� TT w <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. cI O d' <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE, a w <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER .� Q <br /> SETBACK AREA. I� <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. t� <br /> NOT TO BE USED FOR HUMAN HABITATION. _ V <br /> 6. <br /> 7 $ nd <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my g o,°2 S?w' <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all 6 m @ S E, <br /> Information contained in this appikatlon(including any accompanying schedule)and I further declare that I recognize that this E.>>to'D <br /> Information I am providing will be 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 on this Information I am providing In this <br /> application. I agree to permit county officials charged with administrating cou ordinances or other authorlud person to have <br /> access to the above-described pre s at any reasonable time for the purpo inspection. 8 d <br /> OWNER'S SIGNATURE " ' '�` Y'Tl�/ 4 n >$$ $ <br /> (date) l e�' 6$m rt r m•e O <br /> � �6 =z <br /> z 9Rs <br /> ZONING ADMINISTRATOR awn Fj0ni6an y E wa o^ <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCES �»'^N»«» <br /> I bh "�� V NN$000$ <br /> � 12�--1�e� pie,tf� Up k -j �d w� lJ � <br />