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y � <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a 3, <br /> APPLICATION FOR LAND USE PERMITS y y <br /> o <br /> �y, a <br /> OWNER 1 LQ{'1J Y �grrC lI4e ro TELEPHONE <br /> MAILING ADDRESS�� 1p fCArSC)„ /Zd_ So e!, <br /> _Q 6n er' WX 9� <br /> PROPERTY ADDRESS <br /> 5Rh1 Cy n ,� <br /> q t' <br /> LEGAL DESCRIPTION I , VTI <,E- /4/ EYr S� Actigl <br /> TYPE OF PERMIT(S): SINGLE-FAMIILY DWELLING ADDITION Cl DECK❑ GARAGE/ACCESSORY STRUCTURE ❑ 5 <br /> BUNKHOUSE O 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING�❑/ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ o <br /> � ( <br /> STRUCTURE/ADDITION USE: <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) I ^ <br /> BUILDING CONTRACTOR: A r' cel / <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS O o <br /> WILL BE RETURNED. <br /> n a <br /> DIRECRONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) a. <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 ' W3 <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, lz <br /> AND INDICATE NORTH (N), <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(5)TO ALL LOT LINES, (B) BUILDING(S) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK 55 I J <br /> (OHWM)OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. O <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. <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. n^ <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. p <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 Y1 <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. A <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. e, �( <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER ONLY. <br /> ? ; <br /> I\ : o. <br /> SETBACK AREA. fly_' N <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE <br /> NOT TO BE USED FOR HUMAN HABITATION. F O <br /> 6. <br /> T � 9000 >WM <br /> 7, g 3 3 3 » <br /> Lr 2' onno $� o �' <br /> I declare that this application(Inducing 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 m m m <br /> Information contained in this application(Including any accompanying schedule)and I further declare that I recognize that this E.> a a N a <br /> Information I am providing will be refiled upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I °e R nm v b <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing in this <br /> application. I agree to OennR county o Is rhap9ed with a Inistrating county ordinances or other authorized person to have c ' e g a g g 9 <br /> access to the above-described premise any amnaM m for the purpose of Inspection. m 3 ,8 N <br /> OWNER'S SIGNATU - (date) " -o�-�' D p 6 x <br /> F -.-. <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERMITS MAY BE REQUIRED ` <br /> THIS PERMIT SHALL EXPIRE ONE YE FROM DATE OF ISSUANC V O <br /> tirc5 ti� � H,„8o 008 <br /> pUmJ Ie4*11 0l �" <br />