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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER ^, ' p ', A-`� Y '\ /a,�� LI. S _ VELEPHONE /C /2\ _1 <br /> MAILING ADDRESS /�,T� � 4 A/U I�/(CHJf �l Vt (J)�U � � ` / <br /> PROPERTY ADDRESS <br /> lf <br /> LEGAL DESCRIPTION ( Yl/1 (37JJ/ V-�"�J Z <br /> TYPE OF PERMIT(S); SINGLE-FAMILY DWELLING ADDITION DECN A GE/ACCESSORY STRUCTUR `- <br /> BUNKHOUSE 59.692TV)GAZEBO STAIRS FIWNG/GRADING CAMPING UNIT <br /> 9 <br /> COMMERCIAL BUILDINI(G COMMERCIAL ADDITION COMMERCIAL ACCESSORY STRUCTURE s_ 3 <br /> STRUCTURE/ADDITION USE: / �l�y�'�� ✓ �«p �V fX/O nal ' la'y18Slr.�I �g, o <br /> (Home/CaMn; Commercial Bus s; Bedroom; Deck; etc.) T" <br /> BUILDING CONTRACTOR: <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 W KIT SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS 0 c C <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT RAN DRAWING: (ARIAL OR TOP VIEW) l') ad G <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. U d n C <br /> 2. SHOW IHE LOCATION AND SIZE Of ALL EXISTING BUILDINGS/SIRUCIURES (EB) AND ALI.NEW m <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, R <br /> AND INDICATE NORTH (N), rr o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BOILDING(S)TO ALL LOT LINES, (B) BUILDING(S) <br /> TO CENTERLINE OF ROAM, (C) BUILDING MEASURIi ME.NT(S)TO THE ORDINARY HIGH WATER MARK e <br /> LAND AREAS,AND(D) LOT DIMENSIONS. <br /> 4. SHOW HB LOCATION OF TCARE,STREAM RE WELT.(W)R RIVER SEPTI TANK (S) AND DRAINFIELD(OF),AND ALL DISTANCES J C <br /> 3. <br /> TBUILDINGS, OLAKE, LOT LINES. - 6 <br /> S. INDICATE A WALKOUT <br /> T BASEMENT 15 PLANNED AND SHOW AREAS TO GRADED FILLED. o - <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 <br /> NEEDED. DV\1 <br /> C . U <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: <br /> P <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WIHIN 60 DAYS OF PERMIT. n C <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. z (1 <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING R17AINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> ri- <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. O <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. <br /> eA > nnnn OT <br /> 1 declare Nat this appKalbn(Including any accompanying schedule)has been examined by me and to the best of my a o 2 N <br /> knowlMge and belief It Is We,correct and obey e. i econewledge that I am responsible for One detall and accuracy of all <br /> Information contained!In this applicatbn Undudi g any accompanying schedule)and i Further declare Nat I recognize that this > n ) <br /> Nrnett <br /> Information I am provMing will be roiled upon by e county of BuWisoonsin in delermining whether to Issue a panne. I g P m <br /> further accept all liability that may be a result of the county of Bumex relying on this Information I am providing In this _ O o <br /> applkatbn. I agree to Perri W omtlals Uurged with administrating county ordinances or other au[halzed person to have a : .6$g <br /> access to Ne above-descn pre lists at a reasonable time fa the purpose O Impe n. „w�'^ n <br /> OWNER'S SIGNAHR <br /> (date) ° ga <br /> ZONING ADMINISTRATOR / ��/�-� � y ll)e 2 T , R <br /> TOWNSHIP PERMITS MAY BE REQUIRED 3 <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> p� o 0 <br />