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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator n o <br /> APPLICATION FOR LAND USE PERMITS <br /> N N <br /> C <br /> OWNER ,�- TELEPHONE 0 <br /> MAILING ADDRESS �SG - �� yh )nJ ✓�v� .�J`�Q�pJ �� �" T <br /> PROPERTY ADDRESS , ?:- <br /> /jl' AAA JG iC. <br /> LEGAL DESCRIPTION < �' <br /> 021 k3 oY-, � �2- I7 W 5 0 <br /> DWELLING/BUILDING 0 GARAGE/ACCESSORY STRUCTURE 0 ADDITION 0 STAI S ❑ .°�. <br /> TYPE OF PERMIT(S): n <br /> FILLING/GRADING.® CAMPING UNIT ❑ BUNKHOUSE ❑ 59.692(1VIGAZE60 DE K'aL/ <br /> STRUCTURE/ADDITION USE: z <br /> (Home/ abin; Co ercial Business; Bedroom; Deck; etc.Ij p r, r <br /> y.r o <br /> BUILDING CONTRACTOR: t ? r e— <br /> VII, � <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOI PLANS +I V <br /> WILL BE RETURNED. p - <br /> C o_ <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) a <br /> `n <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 rC„ .^, <br /> BUILDINGS/STRUCTURES (NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B) BUIL ING(S) e <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MA <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. w CX] c <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD (DF),AND ALL DISI ANCES <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. Q, <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. ^ F C <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. 1 <br /> y <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE NHEN ( ,, <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> r z L' <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. n 0Q <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. 8 <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATE <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAG1. ONLY. I d <br /> NOT TO BE USED�FOR <br /> �H/UM�A�N HABI-TAJION. <br /> 6. Sf?e LYTT4'-^'..�1 �2/UBS 7J anm �a � <br /> 7. <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my kno Yledge a X w=a ' ") <br /> and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all Informedn o o c <br /> contained In this application(Including any accompanying schedule)and I further declare that I recognize that this Inform Ion I Y <br /> am providing will be relied upon by the County of Burnett Wisconsin in determining whether to Issue a permit. I further a ept all <br /> liability that may be a result of the County of Burnett relying on this Information I am providing In this application. I agree to <br /> permit county officials charged with administrating county ordinances or other authorized person to have access to the abc ve- d N f n <br /> described premises at any reasonable time for the purpose of Inspection. m m E e=i Y <br /> OWNER'S SIGNATURE ".". // (date) <br /> ZONINGADMINISTRATOR ( < <br /> TOWNSHIP PERMITS MAY BE REQUIRED •-ON w G H <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE 8 U <br /> Pelma f le-Her arcked tip b� r2ol (;� dock La dscaP,,� <br />