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Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> AP/PLIC/ATION FOR LAND USE PERMITS <br /> OWNER J�J ,(� / J y/ / TELEPHONE <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS //n / • - c v, �/ <br /> LEGAL DESCRIPTION <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING 17 ADDITION 0 DECK CI GARAGE/ACCESSORY STRUCTllRE <br /> BUNKHOUSE❑ 59.692(IV)GAZEBO O STAIRS 71FILLING/GRADING 71CAMPING UNIT❑ Q <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDITION❑ COMMERCIAL ACCESSORY STRUCTURE❑ 1�s <br /> $TRl1CTURE/ADDTRpara6 <br /> ON USE: <br /> Q�Home/Cab/in;Commercial Business; Bedroom; Deck;etc.) �/LJ1 <br /> BUILDING CONTRACTOR: <br /> C � <br /> z — <br /> AP LOT PIAN MUST BE PROVIDED ON AN 8%X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS r _ <br /> WILL BE RETURNED. <br /> r] _ <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) e <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> r - <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW d <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> n <br /> AND INDICATE NORTH(N). I b P <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B) BUILDING(S) d = <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. 9`1 <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES L t <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <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 <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. „I <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN XJ <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. n z (hyvJ <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. Z <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 GAPAGE/STORAGE ONLY, <br /> NOT TO BE USED FOR HUMAN HABITATION. £ <br /> 6. <br /> 7. ^ A > nnnm > 7- <br /> R o o ;e <br /> ^ n = e 3 r. .T <br /> I dedam that this application(including any accompanying schedule)has been examined by me and to Me beat of my 3 e,2 3 3 a <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all - —information contained in this application(including any accompanying schedule)and l further declare that l recognize Mat this ^ = = > e <br /> information l am providing will be relied upon by Me County of Burnett Wisconsin in determining whether to issue a permit. I5 = u > <br /> further accept all liability Mat may be a result of the County of Burnett relying on this information I am providing in this n — <br /> application. lagrea to permit county officials charged with adminisstcratingcounty ordinances or other authorized person P, <br /> haw access to Me above-deu ' Premisesatany a. I tilfiurn thepurpose of inspection. <br /> OWNER'S SIGNATURE <br /> �� (date) ' <br /> ZONING ADMIN35TRATOR <br /> N� 2 4 1013 <br /> X�nS.21P .ERMITS MAY BE REQUIRED = <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSBUMM G.OU <br /> ZONING <br />