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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator ti v c <br /> APPLICATION FOR LAND USE PERMITS <br /> o <br /> OWNER —K "fn 0" i�, --VI LAD" TELEPHONE <br /> 334y .� <br /> MAILING ADDRESS I l0/ -y �1 rQ S� LAN <br /> PROPERTY ADDRESS r�h pry m <br /> � • UJB-hJS�er l,J Z � <br /> LEGAL DESCRIPTION J <br /> L-ocsm i S nEI/ fUIIJI/y Se a(o -(v�s 3�yN e <br /> SINGLE FAMILY DWELLING❑ GARAGE ACCESSORY STRUCTURE AD <br /> O DITION ❑ STAIRS ❑ <br /> TYPE OF PERMIT(S): <br /> CAMPING UNIT I BUNKHOUSE 17 59.692(1V)GAZEBO ❑ DECK❑ <br /> STRUCTURE/ADDITION USE: . <br /> (Home/Cabin; Commercal Business; Bedroom; Deck; etc.) ? 4 <br /> BUILDING CONTRACTOR: (� <br /> A PLOT PLAN MUST 8E PROVIDED ON AN 8 K X11 SHEET O PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) �O 3 y � <br /> JJ r I 6 <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. 1D O <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING UILDINGS/STRUCTURES CEB)AND ALL NEW C <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS PORCHES AND OTHER STRUCTURES, o <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) p� J n <br /> TO CENTERLINE OF ROAD, (C)BUILDING MEASURE ENT(S)TO THE ORDINARY HIGH WATER MARK r � <br /> 4. SHOW THEFLOCATIONROFnTHE RRIVER AND WETLAN WELL(W), SEPTIC T NK(EST),AND DRAINFIEOLD IMENS(F)I AND ALL DISTANCES ti o <br /> TO BUILDINGS, ROADS,LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED A D SHOW AREAS TO BE GRADED OR FILLED. C7 c <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE a '— <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> OO <br /> NOTE: NG/STRUCTURE LOCATIONS MUST BE <br /> NEEDS MY BE DONE WHEN <br /> D. STAKED SO AN ONSITE VERIFICATIONy <br /> NEEDED. <br /> THIS PERMIT IS SUBIECr TO ALL CONDITIONS LISTED BELOW: I"� <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. z O <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATIONI IS RESTRICTED ALONG SHORELINE. `0 <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED PERMITTED.WATER ITS lr <br /> SETBACK AREA. I I. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE O <br /> 6. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> ONLY. d <br /> 7. a >n til a `b <br /> ffr$s91Cre M <br /> I declare that Mia application(Mtludmp any accompanyingedheduk) been examined2°S° <br /> knovA <br /> and beilef It Is true,correct and complete. I admowledge at I am ble for the detail and me naccuracy ooffeat all Info bof mation�9e <br /> MC `4 <br /> contained In this application(Inducting any accompanying schedule)a I further declare that I recognize that this Information I 8 ? Y <br /> am providing will be retied upon by the County of Burnett Wisconsin in atermining whether to Issue a permit I further accept an <br /> liability that may be a result of the of Burnett relying on this I am <br /> Pertnit county officials charged ad nishatln co Providing in this application. t agree to 6 <br /> p county ordinan dr other auMorizetl n to have access to the above- 6� N <br /> described premises at any ab l hne for the purpose of 1 Na + hs'N A <br /> y�= a <br /> J: F .yr <br /> OWNERS SIGNATURE C,1_0 c <br /> (date) ^ p <br /> ZONING ADMINISTRATOR m FI oa( an " PIP <br /> Li w ts1 <br /> TOWNSHIP PERMITS MAY BE REQUIRED 1903 <br /> (� <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> mai le of +D rk i� -171 fn- <br />