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Burnett County 7410 County Road K,No. 102, Siren,WI 54872 Office of Zoning Administrator o <br /> APPnnnLICATION FOR LAND USE PERMITS ag79 <br /> OWNER Y ITELEPHONE 1 <br /> _ <br /> MAILING ADDRESS <br /> 3,� I�n9-7) <br /> PROPERTY ADDRESS / ((qq1 1 VD�5 <br /> LEGAL DESCRIPTION7Ism1) l ` 3,-r t-12 <br /> TYPE OF PERMENS): SINGLE-FAMILY DWELLING 0 ADDITION ❑ MECK U GARAGFJACCESSORY UCTURE O _ <br /> BUNKHOUSE 0 59.692(IV)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT <br /> COMMERCIAL BUILDING El _COMMERCIALI ADDITION Cl COM�/'J ,RCIAL ACCESSORY STRUCTURE 0 <br /> STRUCTURE/ADDITIONUSE: <br /> �Crnr`�iVtl,�h.l I '(- f�Y�VY o Z <br /> Home/Cabin; Commercial Burnet; Bedroom; Deck;etc.) > <br />—BU!LDINGCONTBACFOP.:— rv.I1^- .- _ -�..-•- -'----- ---- _z_ �.L.._.h.� .., _ <br /> — rl <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS 3 <br /> WILL BE RETURNED. - - <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <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 <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, 6 <br /> AND INDICATE NORTH(N). - �1 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES,(B) BUILDING(S) I <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(5)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. <br /> A. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES <br /> TO BUILDINGS,ROADS,LAKE,LOT LINES. _ I <br /> S. INDICATE IF A WALKOUT BASEMENT 15 PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THEO \ <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. WN y <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: 6 <br /> n 1 <br /> L DRIVEWAY MUST MEET DRIVEWAYWIDTHETATIOESRES WITHIN b8DAYS OFRERMR. ' Z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION O RED UNLESS ALONG SHORELINE. <br /> 3. NO GRADING ES SHOLUDING ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. G x <br /> 4.-NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER— - - <br /> pL�ry 1 <br /> SETBACK AREA. _ �✓ I Ld- <br /> 5. ACCESSORY S ED FOR U A N HA PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. I ll{YY�yy=jj <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> ]. p > nnr,C, > UM <br /> I declare that his application(including any accompanying schedule)has been examined by me and to Ne best of my 3 o,668 <br /> knowledge and belief It is We,correR and complete. I acknowledge Nat I am responsible for Me detail and accuracy,of all <br /> information contained in this application(including any accompanying schedule)and l further declare that l recognize that this <br /> Information I am providing will be relied upon by Me County of Burnett Wisconsin in determining whether to issue a permit I c. - — D <br /> _ 9 <br /> furtherac�ption. I all <br /> reetoPility net may besresult of charged <br /> County dBumettrelying oningcunt Mrdinancesoonlamproviding <br /> ed in Hisappli � q ;G L <br /> have access I Meato "eitcountyamisesatals ba any <br /> lile,Ms brM pur,ose ordinancesor other auNorized person to ? O v � $ c r <br /> have access to Ne above-0escribetl premius at any reaso le ficogj6r Me purpose of Inspection. <br /> OWNER'S SIGNATURE71 <br /> i`C� ✓ e "1 Q v g o'Wo� 8 o D <br /> o � <br /> ZONING ADMINISTRATOR � rRNEETr <br /> WNSHIP PERMITS MAV BE REQUIRED 4THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUU 8 <br /> ZONING <br /> " �o <br />