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m <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator c m" <br /> APPLICATION FOR LAND USE PERMITS ��` <br /> OWNER O,V�n \7 b�so, TELEPHONE../�.�6G-730F�' e YJ <br /> CC V <br /> MAILING ADDRESS Ow �Ut to �-�, 2d �' J�a�6�✓� �S�B 3 -G ; <br /> I ( <br /> PROPERTY ADDRESS <br /> t� O( o <br /> LEGAL DESCRIPTION o <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK ❑ GARAGE/ACCESSORY STRUCTURE <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT ❑ <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ o <br /> STRUCTURE/ADDITION USE: GL/ 1(D{7 f U LJ�LLpG� o (� <br /> (Home/Cabin; Commercial Business; Bed m; Deck; etc.) il; <br /> BUILDING CONTRACTOR: n -� <br /> O � <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 V2 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS 0 6 v <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. c 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, a <br /> AND INDICATE NORTH (N). c <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B) BUILDINGS) <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 DRAINFIELD(DF),AND ALL DISTANCES K➢ <br /> 5. <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. 5 <br /> Zh <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 \ N o <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. (V <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN ,..1 i <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. ry z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. g; C <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. f_ <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER y <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. jJ annnnaoro <br /> 3 3 3 0 9: <br /> I declare that this application(including an accompanyingschedule has been examined b me and to the best of m g 0,°z n g S ? w' <br /> PP ( g Y ) Y y <br /> knowledge and belle(It is true,correct and complete. I acknowledge that[am responsible for the detail and accuracy of all m m I0 s <br /> Information contained In this application(including any accompanying schedule)and I further declare that I recognize that this $ a9 a�, <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to issue a permit. I .� . " a <br /> further accept all liability that may be a result of the County of Burnett relying on this information I am providing In this ii "N' `- b <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have o t- <br /> access to the above-described premises at any reasonable time for the purpose of Inspection. m a 8 w 8 w Y <br /> OWNER'S SIGNATURE(�,j a6 _ / ^ m a'a g S o 8 g r <br /> _ n'A > = � dov, r0 <br /> (date) <br /> ZONING ADMINISTRATOR V Im RCi,/11�Y,i,h <br /> io C� d o'a+ ts7 <br /> TOWNSHIP PERMITS MAY BE REQUIRED C "° <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE QN o»„N'^ <br /> ✓BVIff lei Picked (/tp6q-Fonv,-f4--e. Upson 4-a/�to �J� 000os <br />