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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Adminis rator z <br /> APPLICATION FOR LAND USE PERMITS d <br /> OWNER e TELEPHONE <br /> m <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS <br /> (o <br /> LEGAL DESCRIPTION L Sy 89 O � <br /> Nc{l S se <br /> TYPE OF PERMIT(S): 3 3 N <br /> SINGLE FAMI Y DWELLIN ❑ GARAGEACCESS& Y STRUCTURE ADDITION,;Iiik STAIR-50 <br /> FILLING/GRADING ❑ CAMPING UNIT 0 BUNKHOUSE ❑ 59.692(1V)GA2E80 ❑ DECK ❑ � ^' <br /> h Q+ Poor., o Iy �. <br /> STRUCTURE/ADDITION USE: Z <br /> (Home/Cabin; Commeroiell Business; Bedroom; Deck; etc.) o <br /> BUILDING CONTRACTOR: q i .n+,-�+-fi .5 ,*S ��'�Q &,-I n <br /> Q , "!� <br /> A PLOT PIA MUST BE PROVIDED ON ANIS Yz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS y �� <br /> WILL BE RETURNED. O 3 <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) *Oi c <br /> = S <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO B SHOWN OR DRAWN TO SCALE. nr'i O <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTIN BUILDINGS/STRUCTURES (EB)AND ALL NEW ^ <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECK , PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING (A) BUILDINGS)TO ALL LOT LINES, (B) BUIL ING(S) n <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUR MENT(S)TO THE ORDINARY HIGH WATER MARI: <br /> (OHWM) OF LAKE,STREAM OR RIVER AND WETLA qD AREAS,AND(D)LOT DIMENSIONS. N <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD(DF), AND ALL DIS-rikNCES H o <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. _ n <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCH TELT, ENGINEER, BUILDER, CONTRACTOR, ETC ,THE <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. - <br /> y (v, <br /> NOTE: BUILDING/STRUCfURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE HEN I <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BEL PW: n <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIf EMENTS WITHIN 60 DAYS OF PERMIT. Prr. Z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATI N IS RESTRICTED ALONG SHORELINE. 0 <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE LLOWED UNLESS SPECIFICALLY PERMITTED. K \ (� <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS$1 ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. C <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. F <br /> 6. <br /> � � $ ao � <br /> 7. rRpr 'n :v.sr= - p <br /> 9S ; = w3 <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my kno ledge k z y�wc -I <br /> and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all informatlo c <br /> contained in this application(Including any accompanying schedule)and I further declare that I recognize that this informat on I w� 2 <br /> am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I further acc pt all <br /> liability that may be a result of the County of Burnett relying on this Information I am providing In this application. I agree lo "8 `u""J' 8 r <br /> permit county officials charged with administrating county ordinances or other authorized person to have access to the abo e- <br /> desvibed premises at any reasonable Me for the purpose of Insp m p a <br /> OWNER'S SIGNATURE —/ / c n S N a Y <br /> (date) aH U > <br /> /1 Q e �rEw � <br /> ZONING ADMINISTRATOR �� �'✓Lni n ^ i <br /> TOWNSHIP PERMITSAY BEROREQUIRED `_ <br /> „. « <br /> THIS PERMIT SHALL EXPIRE ONE EAR FM DATE OF ISSUANCE �yN 8 <br /> �m� � I � �� ovFle� , yn16 /-der 3- 3-Or) <br />