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(z`\ <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator _ <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER BU(i1P. Cn. t U(eS TELEPHOi� a157 <br /> MAILING ADDRESS 7 p <br /> 0c Coll <br /> nL1/ V. L <br /> PROPERTY ADDRESS � —7D i <br /> c <br /> LEGAL DESCRIPTION )OV <br /> TYPE OF PERMIT(g): SINGLE-FAMILY DWELLING 11 ADDITION ❑ DECK 0 GARAGE/ACCESSORY STRUCTURE <br /> BUNKHOUSE❑ 59.692(1V)GAZEBO ❑ SFAIRS ❑ FILLING/GRADING❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDITION ❑ I(COMMERCIAL ACCESSORY STRUCTURE❑ <br /> STRUCTURE/ADDITION USE: <br /> (Home/Cabin;Commercial Business; Bedroom; Deck;etc.) <br /> BUILDING CONTRACTOR: <br /> C <br /> A <br /> AP LOT PLAN MUST BE PROVIDED ON AN 8 V2 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS b _ <br /> WILL BE RETURNED. <br /> ] G <br /> DIRECTIONS FOR PLOT PLAN DRAWING (ARIAL OR TOP VIEW) r' O <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> <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER SMUCRIRES, J <br /> AND INDICATE NORTH(N). �j Z <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 o C)r <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. I <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES ,. o <br /> TO BUILDINGS, ROADS, LAKE,LOT LINES. t UJ <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> b. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER,BUILDER,CONTRACTOR,ETC.,THE <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. y- , <br /> y <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. � IV <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> d <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. Q - <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION 15 RESTRICTED ALONG SHORELINE. O <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 S1,J <br /> SETBACK AREA. (j <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. Cj <br /> NOT TO BE USED FOR HUMAN HABITATION. (7 r <br /> 2. j7.1 > in> 0 <br /> 5 3 B `+f <br /> Ideclare ethat nd belief it is application correct and completeng any . <br /> Iackowledng schedule)hasI am examined byr e and the detail <br /> thebest <br /> accuracy <br /> yo a <br /> information <br /> and it this acorrMn(icluding any acknowledge sctlam)andI responsible beeare thtIrecognize of that <br /> information Iam providing <br /> this plicationuponbinhe County of burned, <br /> in <br /> whether to <br /> recognize Mat this <br /> information Iam pmvitling will a relied upon of <br /> county f Burnett Wisconsinin information <br /> whethertoissueapermit [ _ <br /> further accept all liabilirythat may bea result of be County of Burnett relying on this inbrma[ion lam providing in this _ m � — N � <br /> application. I agree to permit county officials charged with administrating county ordinances or other autM1arized person to =_ <br /> have access to the above-d 'betl premises at an sonable tame for the purpose finspeQio a > wrj <br /> OWNER'S SIGNATURE <br /> ZONING ADMINISTRATOR GSC/ - _ _ ' d <br /> S r <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />