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0 <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS y - <br /> pO n (� <br /> c —F-.• <br /> OWNER TELEPHONE _ o' 90 <br /> eIke <br /> /Y�ccvin o <br /> MAILING ADDRESS 7/ �J_b pl i o A-, 1e ) )k e vi� �p) 5�o q� i <br /> PROPERTY ADDRESS - <br /> 24io Le a �� Lir a <br /> LEGAL DESCRIPTION . I BIS/ .8 <br /> TYPE OF PERMIT(S): SINGLLLLE-FAMILY DWELLING C ADDIITON DE K C GARAGE/ACCESSORY STRUCTURE .. <br /> BUNKHOUSE C 59.692(1V)GAZEBO C STAIRS C FILLING/GRADING C CAMPING UNIT C \ E <br /> COMMERCIAL BUILDING C COMMERCIAL ADDITION C COMMERCIAL ACCESSORY STRUCTURE C c <br /> STRUCTURE/ADDITION USE: d 4'Y <br /> Y D z <br /> 0 <br /> (Nome/Cabin; Co Tal Business; Bedroom; Deck; etc.) � -- <br /> BUILDING CONTRACTOR: LI.An n� <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 rk X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS °�JJ <br /> WILL BE RETURNED. .,1 H <br /> n c <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) m 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 <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, a <br /> AND INDICATE NORTH (N). J .z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S) TO ALL LOT LINES, (B) BUILDING(S) Q N P <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. p <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST) AND DRAINFIELO (DF),AND ALL DISTANCES <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 1 r11 0 l� <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> O <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: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. m �" <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> z <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. O <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. d <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. q <br /> NOT TO BE USED FOR HUMAN HABITATION. C7 <br /> 6. E <br /> 7, ^ ,y > e) > pro <br /> n ^n 3 <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 a m d <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this c E- D > m a, ; � <br /> Information I am providing will be relied upon by Me County of Burnett Wisconsin in determining whether to Issue a permit. I ;, ? = > <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing in this <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have a m <br /> access to the above-described premises M any reasonable time for the purpose of Inspection. a o w ,ti f7 <br /> OWNER'S SIGNATURE - - �O - <br /> d a = <br /> (date) F <br /> ZONING ADMINISTRATOR <br /> R a <br /> TOWNSHIP PERMITS MAY BE REQUIRED n "° <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE o N o <br /> � 00000 <br />