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z <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator 3Z. <br /> U' <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER TELEPHONE <br /> J0 A \ <br /> N ( ti <br /> AJ k 0 I ! E3o- vs�,- (ovvs <br /> _ n o <br /> MAILING ADDRESS <br /> C /9 S ,3sEye- (GCJ C <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION I of I / ' I �7 7 <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ADDITION DEJCR 0 GARAGE/ACCESSORY STRUCTURE❑ <br /> BUNKHOUSE O 59.692(lV)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0n COMMERCIAL ACCESSORY STRUCTURE L) <br /> STRUCTUREJADDITION USE: cS r✓•g�e m'L`!t /✓W L(IIn <br /> II 1(Horne/ in;Co�f�e55; BedreooYnn; Deck;etc.) p <br /> BUILDING CONTRACTOR: L4 NN DUhAS(7ti /lS� r](Ga - 5��0 r <br /> U Ggjil y%a- 59// x < <br /> AP LOT PIAN MUST BE PROVIDED ON AN 8'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS r <br /> WILL BE RETURNED. i y) <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) S <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EKISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW p ) c <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, ^^ 11 <br /> AND INDICATE NORTH(N). 1 rr N c <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) 1 <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK d <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(S )AND DRAINFIELD(DF),AND ALL DISTANCES I= <br /> TO BUILDINGS,ROADS, LAKE,LOT LINES. O <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. J <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE r( I - <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. N <br /> 1t«[�Illi�,�II' Z <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEN V 1 ~ <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: � n <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. 0 z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. C] a <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. S <br /> 6. <br /> 7. <br /> „ x > nr.nc ^ cr <br /> n 2333 ? y <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my -` 0 5 d _ °y = <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all ? - - <br /> informa[ioncontainedinlbisapplira[ion(including any accompanying schedule)and[Further declare that Irecogniie that this _ > > >. <br /> Information I am providing will be relied upon bythe Countyof Burnen Wisconsin in determining whether to issues permit. 1 <br /> Further accept all liability that may be a result of the County of Burnett relying on this information l am providing in this _ m � ': '^ S <br /> application. Iagree to Permit county officials charged with administrating county eminences or other authorized person N b = c t- <br /> news access N Ne above-0escribed premises at any reasonable time for, a purpose W mspmoioa <br /> OWNER'S SIGNATUli' ¢ ( `/- - '- n <br /> (date) ^T n, <br /> E 'L <br /> ZONING ADMINISTRA R �r� c <br /> TOWNSHIP PERMITS MAY BE REQUIRED _ <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE 3 I <br /> Ra,IdlAS 6N <br /> 1te OIYSkOL" /IJ F1004011 , — <br />