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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a <br /> APPLICATION FOR LAND USE PERMITS N 0_1 <br /> s <br /> OWNER ` I m <br /> TELEPHONE <br /> e <br /> MAILING ADDRESS O <br /> PROPERTY ADDRESS YY2 1�e / r � _ / �Q� 7v/ <br /> T 7 d �L (j� < <br /> LEGAL DESCRIPTION <br /> L04 _ __34 <br /> C,75-/LA vel Fj nG , to <br /> TYPE OF PERMIT(S). SINGLE-FAMILY DWELLING ADDITION ❑ DECK 0 G RAB /ACCESSORY STRUCTURE ❑ to <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> STRUCTURE/ADDITION USE: tYM ,A11 z <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) 9 <br /> BUILDING CONTRACTOR: q04 t Oh <br /> n <br /> A PLOT PLAN MUST BE PROVIDED ONAN B V2 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C o <br /> WILL BE RETURNED. h <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) m U, <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. W <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 STRUCT , O S <br /> URES <br /> AND INDICATE NORTH (N). Q> <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) c <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK S5' <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. � 5 a) <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST) AND DRAINFIELD (DF), AND ALL DISTANCES L TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. 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 V� o <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. o <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: <br /> 1 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. Z <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 lU <br /> SETBACK AREA. .� <br /> 5. ACCESSORY STRUCTRURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STOPAGE ONLY. <br /> NOT 6. cSC'2T0/1f7QI.5ED FO/�/ /H f,HA�T�ATIQfJ., �i / l,' S�7"Tl!♦c-K/LDOfi��lll/i-`P.�M Fco7. <br /> s � > 000nao 'e <br /> zo ' 3 � oa ; <br /> [declare that this application(Including any accompanying schedule)has been examined by me and to the best of my <br /> knowledge and belief It is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this E. D >a <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to Issue a permit. I a > ao= <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 „ F„;,.,` N y <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have ° n ° ^' o r- <br /> access to the above-described premises at an reasonable time for the purpose of inspection. p g $ o o 0 <br /> m w" � aw�„Nwrl <br /> > � 0000 <br /> OWNER'S SIGNATURE <br /> > - <br /> iiy xa n m_ _. <br /> ZONING ADMINISTRATOR E; F 5 <br /> o n <br /> o � <br /> xa � <br /> TOWNSHIP PERMITS MAY BE REQUIRED ^ ' <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSWJMM C N„„ <br /> ZONING <br /> � � 00000 <br />