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Z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g <br /> nn APPLICATION FOR LAND USE PERMITS y: y <br /> OWNER M TELEPHONE <br /> ✓fl w <br /> MAILING ADDRESS <br /> T, 6S (..s'� ^hi! t l.7 ,s� !1 n <br /> . <br /> PROPERTY ADDRESS 7L{273 <br /> CL <br /> Com/ 1..7`A iL.X f'7 10 J 7 t7 < <br /> LEGAL DESCRIPTION L,,+ Cbv11 j �k LafS <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ADDITION DE ❑ GARAGE/ACCESSORY STRUCTURE ❑ w <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ a <br /> A <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORYSTRUCTURE ❑ c <br /> STRUCTURE/ADDITION USE: SII o <br /> (Home Cabin; Commercial Business; Bedroom; Deck; etc.) fts <br /> BUILDING CONTRACTOR: <br /> bs$ Ce-C it <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 r X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. e <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, 3 d 5 <br /> AND INDICATE NORTH (N). Z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS) TO ALL LOTLINES, (B) BUILDING(S) 6 = ° <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK ^' 3 C <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. Q° p <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD (DF), AND ALL DISTANCES �, i <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. }-i-- 1 <br /> O ( n <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. , 1 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: � <br /> r <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. f7 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. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. > o 0o 0 >n0 -C <br /> 1 declare that this application(including any accompanying schedule) has been examined by me and to the best of my n ? ?� <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 2. m n <br /> Information contained In this application(including any accompanying schedule)and I further declare that I recognize that this A 3. 9 c m N <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to Issue a permit. I a „ -M [ ` PC <br /> further accept all liability that may be a result of the County of Burnett relying on this information 1 am providing in this c H i„d,'.<< N "C <br /> application, I agree to pemltt county officials charged with administrating county ordinances or other authorized person to have 2 m.°2 8 $ 8 8 <br /> access to the above-described premises at any reasonable time for the purpose of inspection. m �m ti'4 w ti w r, <br /> OWNER'S SIGNATURE m n v, 2r C <br /> n (A w 0W <br /> (date) o <br /> ZONING ADMINIS = O tr <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE N N N U N N <br /> N S O O O p <br />