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b z <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> �^ a <br /> OWNER TELEPHONE _. slev <br /> J <br /> MAILING ADDRESS <br /> O <br /> C✓ I t/��i rI-nl��n'I--c2--�Zi-l� �O <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION <br /> J-or' 11 17,NKuS CL-e, Sec� 7 7-44C)N R/!5'!L/, \J OGKSohL <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ IRON ❑ DECK❑ GARAGE/ACCESSORY STRUZ URE C� <br /> Cf m^ <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS❑ FILLING/GRADING ❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING❑ COMMERCIALADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE❑ a <br /> STRUCTURE/ADDITION USE: A X 26 �O/�•l2 �i ' /��f_ .� o A <br /> (Home/Cabin;Commercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: �/C <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yz 11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS O o <br /> WILL BE RETURNED. <br /> n � a <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) O <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW c <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, 1 9 <br /> AND INDICATE NORTH(N). N <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDINGS)TO ALL LOT LINES,(B) BUILDINGS) 5 "A <br /> TO CENTERLINE OF ROAD,(C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK O <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. - , <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES Q <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. N <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 <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> / NN <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. ,J O <br /> THIS PERMIT IS SUB]ECT TO ALL CONDITIONS LISTED BELOW: iu (A $ <br /> n g <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 /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <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. pa. "A > o 0 o O > <br /> c ^ . 77 <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my 3 0 Ei a 333 �= <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all 2 w <br /> E. 'm 'm' ! y <br /> information contained in this application(induding any accompanying schedule)and I further declare that I recognize that this <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 ult of the County of Burnett relying on this information I am providing in this <br /> application. I agree to permit county �ci s rged with inistre ' ordinances or other authorized person ro n F. <br /> have access to the above-described mi at an rea a ti r the p ose of inspection. o > <br /> OWNER'S SIGNATURE - — - v 'i7 <br /> !�/ 3 A � � $S000 � <br /> ZONING ADMINISTRATOR ' Z <br /> V 1 cm . <br /> d 'u tim'1 <br /> TOW SHIP PERMITS MAY RE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE o �' <br /> NN O t�, U Vii O <br /> to O O O O O <br />