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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator N b z <br /> APPLICATION FOR LAND USE PERMITS d <br /> ONr vMAJILvIN=G ADJDRQESS�10M C)R�K- Tl 7n/r'E�iK {11}/,AUEk), O/NyE�Sj,k_a)E-7�a q v O- <br /> I � <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION C I? n17 . 3 4 t o F/ <br /> SINGLE FAMILY DWELLING ❑ GARAGE/ACCESSORY STRUCTURE/I ADDITION ❑ STAIRS ❑ o <br /> TYPE OF PERMIT(S): 9 <br /> FILLIN RADING ❑ CAMPING UNIT ❑ BUNKHOUSE ❑ S9.692(1V)GAZEBO ❑ DECK <br /> STRUCTURE/ADDITION US : Y,SCOT <br /> Z <br /> C (Home/Cabin; Commercial usiness; Bedroom; Deck; et .) I o_ <br /> BUILDING CONI RACTOR: S �-F <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Va X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLkNS <br /> WILL BE RETURNED. O <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) o c <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. tOn . <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW ^- B <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) BUILDIN (S) n <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARKS <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. N <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD (DF), AND ALL DISTANCES <br /> �. ti o <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. w' <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. d o <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> H <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. �) <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: 7 V)- <br /> 1. <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. , Z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. n 'F <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED VVA TER <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ON LY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. <br /> � 3 � 603 <br /> y9 <br /> F <br /> 3"o A <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my knowled e <br /> and belief It is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all Information o �' <br /> contained In this application(Including any accompanying schedule)and I further declare that I recognize that this information <br /> am providing will be relled upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I further accept 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 to `^o <br /> permit county officials charged with administrating Runty ordinances or other authorized person to have access to the above- o d f1 <br /> described premises at any re time for the u ose of in ection. c = H <br /> OWNER'S SIGNATURE cCX� o m H n Z <br /> to 12 <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERMITS MAY BE REQUI JUN 8 2007 <br /> v ^ N <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF.ISS M-COUNTM <br /> ZONING <br />