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N � z <br /> 0 3 0 <br /> a <br /> Burnett County 7410 County Road K,No. 102, Siren,WI 54872 Office of Zoning Administrator 3: _ FOJ <br /> APPLICATION FOR LAND USE PERMITS <br /> a <br /> OWNER�� TEL HOE m <br /> 7 Y � o <br /> MAILING ADDRESS � D4L6 WAL,� /017 6axGr" hk� <br /> 5T/ A�IJ A4) 55/05 <br /> PROPERTY ADDRESS ¢Q// J7V'o 2 <br /> /9 _2/ <br /> S <br /> l/I/ l7J /t o <br /> LEGAL DESCRIPTION <br /> 1-0,r,-5 CSH Vof 1 IQ1 Z39, 6a-, Lc?/, z5, 7-404) FZ15%U/ 3-acKsa,J <br /> TYPE OF PERMrr(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK ❑ GARAGE/ACCESSORY STRUCTURE❑ h _. <br /> BUNKHOUSE❑ 59.692(1V)GAZEBO ❑ STAIRS)< FILLING/GRADING ❑ CAMPING UNIT❑ a <br /> m n <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION 11QCOMMERCIAL ACCESSORY <br /> /STRUCTURED F- <br /> STRUCTURE/ADDITION USE: L -57A1/CS / 1t / <br /> o <br /> C ,!(Home/Cabin; Commie tial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'/x X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS 0 <br /> WILL BE RETURNED. <br /> n a <br /> :+f <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) c <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 3 <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, N a <br /> AND INDICATE NORTH(N). �_ 0 W c <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) 9J R. <br /> TO CENTERLINE OF ROAD,(C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK ' 00 <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 <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> O <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. li <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. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN C, �1 <br /> NEEDED. (!1 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: d <br /> � O <br /> m � <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. N z p <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. � 6� <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. H ' <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. F <br /> 6. _IT rS awl de <br /> > c o 0 0 ro <br /> z Fzo � � � oosz <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my 3 <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all m m m =rn <br /> information contained in this application(including any accompanying schedule)and I further declare that I recognize that this D m N <br /> information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit I b <br /> further accept all liability that may be a result of to County of Burnett relying on this information I am providing in this g d,: '+'„'^,, 'o <br /> ato ee 'ounty officials charged <br /> time administrating <br /> other authorized person t m d : <br /> have access to the bovdescrmisesat anasoable for tpurpo of nspectionoD2 woU <br /> o <br /> a <br /> OWNER'S SIGNATURE <br /> (date n c? <br /> ZONING ADMINISTRATOR ` CO 'z 7 �� _ o�. y 5 O <br /> M <br /> TOW SHIP PER TS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> W N 69 69 N O <br /> tJii tNn 000 00 <br />