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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administratorno <br /> APPLICATION FOR LAND USE PERMITS a <br /> OWNER DRRRYL- TELEPHONE <br /> ` 115• Q/,.,/_ • ��(..� <br /> MAILING ADDRESS W Ogg -1) <br /> E,�J II/ k) <br /> K2 <br /> PROPERTY ADDRESS ( I U(-�, _ <br /> LEGAL DESCRIPTION G�b T' LION R I(D W NW m E � W <br /> SING✓LE FAMILY DWELLING GARAGE/ACCESSORY STRUCTURE ❑ 1111EM ION ❑ STAIRS ❑ o _5 <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ DECK ❑ <br /> STRUCTURE/ADDITION USE: Iti - <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> 7 <br /> BUILDING CONTRACTOR: I o <br /> U <br /> A PLOT PLAN MUST BEPROVIDED ON AN 8 V.X11 SHEET OF PAPER <br /> WILL BE RETURNED. . ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS O <br /> 77 < <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) ° <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. f1 I a <br /> Z OW THE LOCATION EOF LL EXISTING BUILDINGS/STRUCTURESOTHER ALL NEWBUILDINGS/STUCT ES BINC INCLUDING DECKS, PORCHES AND STRUCTURES,INDICATE NORTH (N). m O <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) v <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK o 0 <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 O <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES.S. INDICATE IF A WALKOUT _ <br /> AREASMENT IS PLANNED AND SHOW BUILDER,O BE <br /> 6. IF SE ARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, ,CCO TRACTOREETC., THE <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. C <br /> I� <br /> F <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: '� C <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. r <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE.3. NO GRADING OR SHORELAND <br /> FICALLY PERMITTED. <br /> 4. NO STRUCTURES, NCCLUDING RETAINING WALLS,TIONS ARE �ETCO.WgLLOWED W TH NED UNLESS IT E REQUIRED WATER <br /> z <br /> SETBACK AREA. z <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STOR <br /> NOT TO BE USED FOR HUMAN HABITATION. AGE ONLY. (J <br /> 6. <br /> 7. <br /> I tledare that this appllwtlon(InUuding any acwmpanying schedule)has been examined by me and to Me best of my knowledge > m n 'd <br /> antl belief it's <br /> true,correct and complete. I acknowledge that i am responsible for Ne detail and acaracy of all Information R n ti 3 I F a My <br /> contained n this appr died (Including any accompanying schedule)and I further declare Mat I recognize that this Information I 2 0 o o'c <br /> am providing will be relied upon by the County of Burnett Wisconsin In determining whether[o Issue a permit. I further accept all v <br /> liability that may <br /> be a result of the County of Burnett relying on this Infonnatlon I am Droviding In this applicatlon. [agree to <br /> per <br /> wunry officials charged with a Inistratlng wunry ordinances or o//N/}er(/a//uthorized person to have aaess to the above- ° ° <br /> desrrlbed premises at any reasonabl I e for the pu se of InspG'V— a <br /> OWNER'S SIGNATURE �I �fO — ,r^yl <br /> ZONING ADMINISTRATOR � /") "' <br /> J, <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> Z _ t <br /> �yT,HIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE C' <br /> 7l�(Y11� Ill 4(� �y � VI10✓ALJ ��-�� <br /> V�Hj O NNH <br />