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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator c <br /> APPLICATION FOR LAND USE PERMITS y: <br /> a N <br /> OWNER N i TELEPHONE �i!- - ti3,A-i-W 6 <br /> 1 i�ZJ p O <br /> MAILING ADDRESS A f u vCaw�, t a , ! SN 11� <br /> PROPERTY ADDRESS 80-73 I � w W.r l,l�9y \�-� <br /> a <br /> f.IP'1of u 'i o Sct�. 2 Ica NS�ip 3 PkYlt. 12C.���L 17 VfdSl <br /> LEGAL DE�SCRIPTI6N y r `i 3 t 9 , o <br /> Tc.s,.. W LAN[DIN I 52nL4ALIJ,SCI�N 1 N <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLINGX ADDITION ❑ DECK D GARAGE/ACCESSORY STRUCTURED v� <br /> BUNKHOUSE O 59.692(1V)GAZEBO D STAIRS O FILLING/GRADING D CAMPING UNIT D <br /> COMMERCIAL BUILDING <br /> 11❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE D <br /> 1' <br /> STRUCTURE/ADDITION USE: o" <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) —' 0 <br /> BUILDING CONTRACTOR: 0-_V_4.1e O <br /> w Q <br /> A PLOT PLAN MUST BE PROVIDED ON AN B Vi X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o <br /> WILL BE RETURNED. .� <br /> A <br /> � � C <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) p <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW tN.f m <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, C7 (jl .o <br /> AND INDICATE NORTH (N). �I z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDINGS) O o ✓I I P <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK w —' O C <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. p a� <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD (DF),AND ALL DISTANCES <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. �' y <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. W <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. W N <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN y r' <br /> NEEDED. <br /> � C <br /> r. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> S <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. � n z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. "YTT <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. 6 y A <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER }� <br /> SETBACK AREA. I IIV) <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7• T n o 0 0 p�p <br /> ry <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my 3 0,�°� S ? w' <br /> knowledge and belief R is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all R. E. <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this E.D 9 m ,�, <br /> Information I am providing will be relled upon by the County of Burnett Wisconsin in determining whether to Issue a permit. I n a w= ,y <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing In this cc w N,`- b+ �o <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have ^ <br /> access to the above-described premises at any reasonable time for the purpose of Inspection. ° B ;.,iX (y <br /> MI� n do`�ooga <br /> OWNER'S SIGNATURE •' " �- 0 �A•u , IIII °'` o 0 <br /> v amn v, m0 <br /> ( E g E; <br /> ZONING ADMINISTRATOR \/ ; wo S n M <br /> 'j I A OLF 8 011 <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUArAURNETT COUI rryti o o <br /> ZONING <br />