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Burnett County 7410 County Road K, No. lOZ, Siren, WI 54872 Office of Zoning Administrator ri o <br /> APPLICATION F R LAND USE PERMITS <br /> OWNER \C TELEPHONE IL E— W t-r <br /> MAILING ADDRESS <br /> V �E <br /> PROPERTY ADDRESS \� <br /> LEGAL DESCRIPTION <br /> Sw <br /> SINGLE FAMILY DWELLING 1, GA GE/ACCESSORY STRUCTUR ADDITION ❑ TAI0.5 O 'o2P .-.1 <br /> TYPE OF PERMIT(S): /, <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ BUNKHOUSE El59.692(1V)GA2E80 ❑ bECK❑ V, <br /> STRUCTURE/ADDITION USE: I W YJIV�' Ta.w z <br /> (Home/Cabin; Com erci I Business; Bedroom; Deck;GA�.etc.)a, e a <br /> BUILDING CONTRACTOR: SW%W1LkILj0k -tilt <br /> . <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yz X11 SHE OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS * H <br /> WILL BE RETURNED. x <br /> < <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) T — f <br /> 't a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. t^n I O <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). JJ <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWI G: (A) BUILDING(S)TO ALL LOT LINES, (B) BULDING(S) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEA UREMENT(S)TO THE ORDINARY HIGH WATER PiRKS <br /> (OHWM) OF LAKE,STREAM OR RIVER AND WE LAND AREAS,AND(D)LOT DIMENSIONS. (T) <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPT C TANK(ST)AND DRAINFIELD (DF),AND ALL DI TANCES O' o <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANN D AND SHOW AREAS TO BE GRADED OR FILLED I(J 1 <br /> 6, IF SEPARATE PLANS ARE SUBMITTED BY ANA HITECT, ENGINEER, BUILDER, CONTRACTOR, EC., THE _ <br /> PLANS MUST BE SIGNED AND DATED BY THE 0 NER. } <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE S AKED SO AN ONSITE VERIFICATION MY BE DON WHEN1 <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTEDBELOW: <br /> r z <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. n <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WAT�R Z <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS AL W FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. 8 <br /> >7. 07 <br /> F n n3 a = f In <br /> 39 giw' c� <br /> I declare that this aDDlica[iod(including any accompanying schedule)has been examined by me and to the best of my len wledge � Z <br /> and belief It Is true,correct and complete. I acknowledge that I am responsible for the detall and accuracy of all informs on e e 2 _ . <br /> contained in this application(including any accompanying schedule)and I further declare that I recognize that this in/or abpn I _ <br /> am providing will be relied upon by the County of Burnett Wiscon In In determining whether to Issue a permit. I further ccept all <br /> liability that may be a result of the County of Burnett relying an Idlis Information 1 am providing In this application. I agr to `I^'5 <br /> permit county officials charged with administrating county ordinances or other authorized person to have access to the a ove- e <br /> described premises at any reasonable time for the purpose of Ins action. <br /> OWNER'S SIGNATURE S 2i 2 <br /> ZONING ADMINISTRATOR IY <br /> TOWNSHIP PERMIT MAY BE REQUIRED a `7 2001 w <br /> THIS PERMIT SHALL EXPIRE ON YEAR FROM DATE OF ANCE M € w M <br /> BURNETT,COUN <br /> ZONING <br />