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Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator = ' <br /> APPLICATION FOR LAND USE PERMITS = <br /> OWNER c TELEPHONE <br /> MAILING ADDRESS 73 S' 'i ! /a J a I,5( La �� iJ �A/Li�_�B3eD <br /> l'1 I I � <br /> PROPERTY ADDRESS A „ el <br /> LEGAL DESCRIPTION <br /> J�N or-F SW 1 � 1 sere { <br /> TYPE OF PERMIT(5): SINGLE-FAMILY DWELLING 0 ADOITIO ❑ DECK�- GARAGE/ACC SORY STRUCTURE 0 <br /> BUNKHOUSE 0 59.692(1V)GAZEBO❑ STAIRS 0 FILLING/GRADING E CAMPING UNIT 0 <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE E - <br /> STRUCTURF/ADDITION USE: I J e .� J •/' / J'� <br /> (Home/Catlin;Commercial Buane ; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: �.� L F m <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 1/2 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS I� c <br /> WILL BE RETURNED. <br /> n <br /> DIREFORPLOT PLAN DRAWING: (ATOP VIEW) <br /> O <br /> 1.. ALL ALL REQUIRED DIMENSIONS OR DISTANCESCES TOO BE SHOWN OR DRAWN TO SCALE. M <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW ry 3 <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). {j <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING (A)BUILDING(S)TO ALL LOT LINES, (B)BUILDINGS) 3(•J❑ <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. SL <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DUUNFIELD(DF),AND ALL DISTANCES <br /> TO BUILDINGS, ROADS, LAKE,LOT LINES. I- <br /> 5, INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. A <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE }�E <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. I __ <br /> NOTE: BUILDING/STRUCTURE LOGTIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. Q 1 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> L 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. O <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER I n <br /> SETBACK AREA. �J <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. S <br /> 6. <br /> Z = z > ^ _ Gn > cr <br /> I declare that this application(including an A '7 2 <br /> 9 ymplete. Iicknowleule)M1at been examined the and ad accuracy <br /> g - _ <br /> knowledgea contained belief itisbaa,correctandn(including <br /> i complete. I acknowledge MatIul responsible er Medetailandmogniq ofall - - <br /> inflimmationamprproviding <br /> will emliedl upo by the County of Burned <br /> Wisconsin in [turtming late that Irecoea eMat I <br /> further acc lam pmility t Willa be a0upon The County of Burnett Wisconsinin Determining wM1ttM1ertoissuespermitI <br /> further accept all liability that maybes rerun ch MedCountywith dBurnettingcpoa ordinances mother Providing iderso - <br /> have <br /> application. <br /> oMagree toe-cies county ofncialschayed wi[M1 administratingcounty Prtlinancesor other authorized personM ^ 5 o <br /> have access to Neabove-0eurjbey'{1T�,ml at an'yrreeasonable time forhee.purpose ofl inspection. _ 212 q <br /> OWNER'S SIGNATURE ' <br /> (date) <br /> ZONING ADMINISTRATOR <br /> JUN 12 2013 F? a r <br /> TOWNSHIP PERMITS MAY BE REQUIRED e< <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSWMETT COUNTY ? <br /> ZONING <br />