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0 <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a 3 <br /> APPLICATION FOR LAND USE PERMITS �}) <br /> J p l <br /> OWNER _raid Be $-I TELEPHOf 7/5.1 / 39 737 <br /> MAILING ADDRESS (., ( / tP <br /> 3o3 / ounf�, /Poad f} <br /> R1 <br /> PROPERTY ADDRESS 3.3 . COunTLI /toad, / <br /> 5 < <br /> LEGAL DESCRIPTION /9 Ty0 c (ZI <br /> Lot 2. Csm ✓I& P.2i7 o7_oa 8-41?,27-V I v <br /> ACCESSORY STRUCTURE ADDITION 0 STAIRS 0 <br /> TYPE OF PERMIT(S): SINGLE FAMILY DWELLING 0 GARAGE/ <br /> FILLING/GRADING 0 CAMPING UNIITf 0 BUNKHOUSE 0 59.692(1V)GAZEBO 0 DECK 0 .o <br /> STRUCTURE/ADDITION USE: 0.f <br /> (Home/Cabin;/Co ercial Business; Bedroom; Deck; etc.) {. z <br /> BUILDING CONTRACTOR: Sc <br /> 7 <br /> y <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Y:X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS O <br /> WILL 8E RETURNED. 70 < <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW C O <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, b c <br /> AND INDICATE NORTH (N). v <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B) BUILDING(S) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND(D) LOT DIMENSIONS. w O <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES v <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. ti I <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. �, o <br /> (� F <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> -1 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <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 8 zA <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. �- <br /> NOT TO BE USED FOR HUMAN HABIT-Ai 10N. <br /> 6. <br /> 7' f <br /> I tlec'are Mat this Oppllwtlon(InGuding any accompanying xhedule)has been examined by me and to the Dest of my knowledge > D d m o D v S <br /> and belief R Is true,mrreut and rnmplete. 1 acknowledge Mat I am responsible for the detail and amracy of all Information '^ " „a <br /> contained in this <br /> appikatlon(Inclutling any aaompanying schedule)and I further deUare Mat 1 recognize Ma[this Information I z o 5 c <br /> am provitling will be relletl upon by the County of Burnett Wixonsin in detennlning whether ro Issue a permit. I further accept all <br /> liability Mat may be a result of the County of Burnett relying on MIs Infortnatlon I am provitling In MIs appllcatlon. [agree to A , <br /> permit county ofndals chargetl wiM administrating county ortlinances or other authorized person to have access to the above- Y <br /> desuibed premises at any reasonable time for Me purpose of Inspectlon. '„ = a s+;,,y,N b <br /> e,�.,�-P.�C �3e, �r/a nig N o <br /> OWNER'S is <br /> (date) kk <br /> A o S <br /> ZONING ADMINISTRATOR <br /> � yadz <br /> TOWNSHIP PERMITS MAY BE REQUIRED y N <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> let <br />