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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator ;? z <br /> APPLICATION FOR LAND USE PERMITS Z <br /> it <br /> U <br /> OWNER TELEPHONE /sy—_2 q a <br /> .Cry / <br /> MAILING ADDRESS u bil <br /> PROPERTY ADDRESS Lis <br /> n J <br /> LEGAL DESCRIPTION e 5 <br /> SINGLE FAMILY DWELLING❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ STA RS ❑ g <br /> TYPE OF PERMIT(S); <br /> FILLING/GRADING CAMPING UNIT❑ BUNKHOU. `�- <br /> S...E ❑O 5�9.692(1V)GAZEBO ❑ DE ❑ I(/� <br /> STRUCTURE/ADDITION USE: r bill I , 1 1"1' - Pe 0 CQ (-0 o" 1 0 <br /> (Home/Cabin; Commercial Business; Bedroom; Deck;eti.) <br /> BUILDING CONTRACTOR: molollp <br /> n <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 yr.X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT LANS C —��- <br /> WILL BE RETURNED. ± <br /> O ° � <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) "1,1 n <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW w <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILD NG(S) n <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK ,o <br /> (OHWM) OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF), AND ALL DISTA NCES ?. <br /> TO BUILDINGS, ROADS,LAKE, LOT LINES. ^a <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 0 '9 0 <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE o, a 00 <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. 1 <br /> H r�nn <br /> NOTE: BUILDING/STRUCfURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE M HEN k, _I <br /> NEEDED. CT <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: ' <br /> r- Z C <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. ' z t <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. B <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS At LOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE jNLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. E <br /> 6. <br /> R � R35 Ag� � <br /> 7. bro �! <br /> a <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my knowledge <br /> and belief It Is true,correct and complete. I admowlsdge that I am responsible for the detail and accuracy of all information o ? y <br /> contained In this application(including any accompanying schedule)and I further declare that I recognize that this Infornuetic n I H H u w N b <br /> am providing will be relied upon by the County of Burnet:Wisconsin In determining whether to Issue a permit. I further acre 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 tc .G`" `"g rr+ <br /> permit county officials charged with administrating county ordinances or other authorized person to have access to the above <br /> described premises at any reason pie time for the purpose of inspection. <br /> MAJ <br /> OWNER'S SIGNATU r] � (1(, yn <br /> I J (date) <br /> ZONING ADMINISTRATOR /f7l Oil) n <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE 8 <br /> alm14 �iC�Pd i t b� Cdl 1 Per) f�nsOn �- �D'7 <br />