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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a. a <br /> APPLICATION FOR LAND USE PERMITS = w <br /> UJ <br /> OWNER TELEPHONE <br /> ,q _J <br /> c <br /> MAILING ADDRESS r <br /> PROPERTY ADDRESS <br /> O <br /> LEGAL DESCRIPTION z <br /> TYPE OF PERMTT(S): SINGLE-FAMILY DWELLING 0 ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE O <br /> �J <br /> BUNKHOUSE ❑ 69.692(1V)GAZEBO ❑ STAIRS FILLING/GRADING ❑ CAMPING UNIT❑ .7^ <br /> COMMERCIAL BUILDING O //��COMMERCIIAL ADDITION,�0, / COMMERCIAL ACCESSORY STRUCTURE 0 <br /> STRUCTURE/ADDTTION USE: YG bf J 7 U 71XY/LI�{_ Vn <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> Imo. o d <br /> BUILDING CONTRACTOR: <br /> N <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Vz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C c <br /> WILL BE RETURNED. .r <br /> T <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) n.. <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. y r <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW re - a <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). �. <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B) BUILDING(S) 9 CJ' <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK e i ^ <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 _ DQ <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. �' .�. <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 1 <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE 71�1 ~ V <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. 7z�, U) a <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: i 'JJ <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n Z (� <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. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. fi <br /> NOT TO <br /> FOR HUMAN <br /> 6. fpSEDHA <br /> nooi'"eakr4hao q'l,)-1(ix <br /> . I k�s�`��. <br /> 7. o x >nnnc;>o ^d <br /> n e 3 3 g n 9. <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my 3 0 7 3 s T_ N <br /> knowledge and bellef R Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a penult. I3 > <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. 1 agree to permit county officials charged with administrating county ordinances or other authorized person to have <br /> access to the above-described premises at any reasonable time for the purpose of Inspection. ' R <br /> 3 hf� ; <br />