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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator n z <br /> APPLICATION FOR LAND USE PERMITS St ° <br /> _ <br /> OWNER <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS ��—�LIIN ��� \r 9Vv <br /> 0 <br /> LEGAL DESCRIPTION 'us //'O r tZI-S 11"'� <br /> SINGLE FAMILY DWELLING ❑ GARAGE/ACCESSORY STRUCTURE 0 ADDITION 0 STAIRS 0 0_ `� <br /> TYPE OF PERMCT(5): <br /> FILLING/GRADING 0 CAMPING UNIT 0 BUNKHOUSE 59.692(IV)GAZEBO 0 DECK 0 I_ <br /> STRUCTURE/ADDITION USE: 2 <br /> (Home/Cabin; Commercial Business; om; De ; etc.) c <br /> BUILDING CONTRACTOR: _ <br /> A PLOT PLAN MUST BE PROVIDED ON AN B V2 X11 SHEET OFPAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS .,� N J <br /> WILL BE RETURNED. Q <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) O <br /> 6 <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 <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, v <br /> AND INDICATE NORTH (N). .9 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B)BUILDING(S) '� n <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARKR � 'g <br /> (OHWM) OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D) LOT DIMENSIONS. " <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD (DF),AND ALL DISTANCES °o rn o <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. tv -I <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDERCONTRACTOR, ETC.,THE 4 <br /> , `(� <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN A <br /> NEEDED. <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: Q <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. � C <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. 0 <br /> SETBACK AREA. <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER \ <br /> Ll <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. 6(3: ebo 2pjolt� d for- Cc- 01-) CL Se�arafe applic"O/, . <br /> 7. <br /> I dedare that this aDOlkabon(in II ding any accompanying schetluk:)has been examined by me and to the best of my knowledge � z N�o ' �' H <br /> and belief I[is true,correct and complete. I acknowledge that I am responsible for the detail and accoreq of all Information <br /> contained In this application(Including any accompanying schedule)and I further declare that I recognize that this Information n I a <br /> am providing will be relied upon by the County r ettBurnettely ngWisconsin <br /> on this in determining whether to Issue a permit. I further accept all <br /> Liability that may be a resultcharged <br /> of the County of Burnett relying on this Information I am providing In this application. I agree to <br /> permit county officials charged witlr atlminiatra ng county ordinances or other authorized person to have access to the above- 6 .rr <br /> described promises at any reasonable Ime for rpm of repetition. <br /> lEy r] <br /> y 8 0= y <br /> OWNER'S SIGNATUREO <br /> f (date) w a S 9 B ,x <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERMITS MAY BE REQUIRED p H <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE pN g o <br /> 412�kr-PICkeGi �t,o 6� i�iGIYC �� ibar� Nr�heill 'o� <br />