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Z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator gPj <br /> APPLICATION FOR LAND USE PERMITS y' N <br /> OWNER QSe I /� �e TELEPHONE 7/�- V <br /> S _'1 b( 9 d <br /> MAILING ADDRESS 31773 PA IJS�/ LApd(A)L 2p NNAu&� Uzi SYfl3() <br /> PROPERTY ADDRESS <br /> : fAffi <br /> LEGAL DESCRIPTION <br /> Scc. lJ WI)ql 2Nio. llo Uj 4Y s <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING 0 ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 <br /> ro <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION COMMERCIAL ACCESSORY S RU/CTURE ❑ <br /> STRUCTURE/ADDITION USE: �7'O�-3 e CQ^�✓` S� S/W _ z <br /> 0 <br /> (Home/Cabin; C6mmercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: u'd r� <br /> O � <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS c <br /> WILL BE RETURNED. <br /> � c <br /> a <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) M Cy <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. y n <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW t>yO <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, 1 <br /> AND INDICATE NORTH (N). c p <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK w' <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. tJ <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST) AND DRAINFIELD (DF), AND ALL DISTANCES 5. y <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE c <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. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: r' <br /> n <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 7y <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 <br /> SETBACK AREA. <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 o 0 a o N c <br /> ^ ma y 3 <br /> 3 - I <br /> 1 declare that this application(including any accompanying schedule)has been examined by me and to the best of my g o,°�� c c - <br /> ^o o w <br /> knowledge and belief R Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all E. m E 9: E a <br /> Information contained In this application(including any accompanying schedule)and 1 further declare that 1 recognize that this .a - n N <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. 1 4 �R ?w� <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing In this 6 in N''' <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have s <br /> access to the above-described premises at any reasonabl time the purpose of Inspection. ,� ,3 S„6+,pN w <br /> C 011 n ,8w tn00 '. <br /> O <br /> X R A a y <br /> ( `OWNER'S SIGNATURE - ( -0 ss > ^: <br /> (date) a A 5. <br /> O " O = $� <br /> ZONING ADMINISTRATOR T1 M 13 <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> J1NONto p <br /> �VOO p OO <br />