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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g <br /> APPLICATION FOR LAND USE PERMITS1 <br /> O <br /> OWNER TELEPHONE <br /> a �Q <br /> MAILING ADDRESS ST� <br /> �R o 1 6 <br /> PROPERTY ADDRESS r? � C <br /> ( J <br /> LEGAL DESCRIPTION ce r <br /> TYPE OF PERMTT(S): SINGLE-FAMILY DWELLING D ADDITION El DECK D GARAGE/ACCESSORY STRUCTURE D rn <br /> BUNKHOUSE O 59.692(1V)GAZEBO D STAIRS ($ FILLING/GRADING D CAMPING UNIT D <br /> COMMERCIAL BUILDING CICOMMERCIAL ADDITION D COMMERCIAL ACCESSORY STRUCTURE D S' W <br /> /� 9 <br /> STRUCTURE/ADDITION USE: / �ylY wYYy/LtJ K1-(k �F}- see u6t"(o_C z <br /> (Home/Cabin; Comm ial Business; Bedroom; Deck; etc.) I ° <br /> CA <br /> BUILDING CONTRACTOR: Eel7sp <br /> y <br /> A PLOT PIAN MUST BE PROVIDED ON AN 8 Yz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. (J <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 <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB) AND ALL NEW 3 <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, o <br /> AND INDICATE NORTH (N). z <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 <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 0 <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. y <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. i <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC., THE o <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN -i O <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: f <br /> d C <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. a 'J <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER \ O <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 /> Jep /4Tf'�-{�,.I { elT2r "ROw. <br /> 7. C°.F) caw`J ^ 7d aaro <br /> 3 3 �' c <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my 3 0 <br /> knowledge and belief it Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all o. w d d rn <br /> Information contained In this application(Including any accompanying schedule)and 1 further declare that I recognize that this " to a a 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 D <br /> further accept all Liability that may be a result of[he ty f Bumett relying on this information I am providing in this i_ w,= v,N 7 <br /> application. I agree to permit county officials charged w minlstreting county ordinances or other authorized person to have ^ n,°� 8 8 : 8 8 C <br /> access to the above-described premises at any of Inspection. 5 a („ n <br /> �urpose <br /> nC a^ y �oogS > <br /> OWNER'S SIGNATURE L I oC J I) A a $ <br /> (date) o h4iy n = <br /> ZONING ADMINISTRATOR y H H w' o^t �y <br /> ^m 0i m � xis <br /> INSHIPERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> vv, 3 rlaCKed tc f,bLJ �Ver?15mp '7f�- - a-ail s o <br />