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N � z <br /> _ � o <br /> a <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER TELEPHONE O <br /> IIT p!'c'S S Ole 7!S <br /> MAILING ADDRESS <br /> s'e 8Y12 <br /> PROPERTY ADDRESS <br /> (VC✓ �G k( I i �O rGvl f"J <br /> LEGAL DESCRIPTION <br /> TYPE OFPERMIT(s): SINGLE-FAMILY DWELUNqf- ADDITION DECK ❑ GARAGE/ACCESSORY STRUCTURE ❑ _. <br /> BUNKHOUSE 0 59.692(1V)GAZEBO❑ STAIRS 0 FILLING/GRADING 0 CAMPING UNIr❑ <br /> COMMERCIAL BUILDING ❑ C MMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> STRUCTURE/ADDITION USE: ) a kr>� Ndl/t. 4-- V'X sn 4_4 r.F��r.3't�Yl✓L _ <br /> (Home/Cabin, Commercial Business; Bedroom; Deck; etc.) <br /> - �BUILDING CONTRACTOR: 60,1e0,3 <br /> °z o <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'A X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. <br /> n a <br /> DIRFIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) c O <br /> ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW d 3 <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, V N c <br /> AND INDICATE NORTH(N). o z <br /> SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> 40(OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. R1 <br /> SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES W 4. <br /> TO BUILDINGS, ROADS,LAKE, LOT LINES. <br /> 5. INDI TE IF ALKO BASE EM'IS P NNED AND OW AREAS BE GRADED R FILLED. c rl <br /> 6. IFS ARATE NS E SUB D BY AN ARCHITE ENGINEER, UILDER,CONTACTOR, ET ..,THE j 1 <br /> PL 15 MUST BE SIGID AN ATED B�E OWNER <br /> U} l <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN v l d <br /> NEEDED. �( <br /> THIS PERMIT IS SUBIECf TO ALL CONDITIONS LISTED BELOW: c} � <br /> b <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. I� d z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. d <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. U',) <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER q QQ <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. E <br /> 6. <br /> 7. n o 0 o n a b <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my 3 0 e ? w' 3 <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all <br /> information contained in this application(including any accompanying schedule)and I further declare that I recognize that this n E. D W N <br /> information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I E: c __'.w = i a <br /> further accept all liability that may be a result of the County of Burnett relying on this information I am providing in this _S <br /> application. I agree to permit m officials arged with administrating county ordinances or other authorized person to n E <br /> have access to the above-OescrjbeQ premise t any r sonabl time for the purpose of inspecti o o a <br /> = w <br /> OWNER'S SIGNATURE / �" 3 m o c "� <br /> ' ( ) M 'y _ O <br /> ZONING ADMINISTRATOR J h11 to ECEI `,/ E a? <br /> .. <br /> o m� t � Otff <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> AUG 7 2012 C : <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUA o <br /> BURNETT COU <br /> ZONING <br /> � ����o <br />