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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator 4 <br /> APPLICATION FOR LAND USE PERMITS - <br /> OWNER TELEPHONE Si53�}5 861,3 <br /> �AS,f1/x�t 6,P�ti.9�✓ j� <br /> MAILING ADDRESS h(O� Al. <br /> �i1fL�1PS 4�Ta L3psll <br /> PROPERTY ADDRESST"/ <br /> z/ D '5//j_ `/Cn --y-- <br /> 7 E� SIC <br /> LEGAL DESCRIPTION 5 -RIR - 7'A16 A/ - /e /s l�✓ � �' <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLIN ADDITION ❑ DECK❑ GARAGE/ACCESSORY STRUCTURE ❑ I^ <br /> BUNKHOUSE ❑ 59.692(1V)GAZ2. <br /> EBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING ❑ COMMERC AL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> pp y <br /> STRUCTURE/ADDITION USE: CA BI c <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.)e <br /> BUILDING CONTRACTOR: S LF '- �/9 Se HAS- PeE,�YA/J <br /> n <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS � c <br /> WILL BE RETURNED. — — <br /> T' n <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <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, <br /> AND INDICATE NORTH (N). .v, JI,,1� Z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) \ <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <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 '7CV <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. - ;^ <br /> S. 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 <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. III'�J"I <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> _ � 1 <br /> NEEDED. <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: <br /> Pi <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. r) z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. H _ <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. i <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6.7. <br /> f <br /> n n e 9O� 0. K $rt to <br /> a 7. o a J n 7 <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my <br /> knowledge and belief It Is true,correct and complete, I acknowledge that I am responsible for the detail and accuracy of all <br /> Information contained In this application(including any accompanying schedule)and I further declare that I recognize that this > > a „ : <br /> Infornatlon I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I -97 <br /> == > <br /> further accept all liability that may be a result of the County of Burnett relying on this information I am providing In this `c 'd 1� <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have ^ o r <br /> access to the above-described p mases at an reasonable me f the purpose of Inspection. a R Z a L' a <br /> 3 "I > o$ oo W H <br /> OWNER'S SIGNATURE b 8 <br /> � (date) <br /> ZONING ADMINISTRATOR ntil <br /> [ 6 6 m <br /> A G <br /> TOWNSHIP PERMITS MAY BE REQUIRED a <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE o N w s ^ <br /> 0000b' <br />