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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administratoro <br /> APPLICATION FOR LAND USE PERMITS <br /> a � <br /> OWNER C TELEPHONE 349 -5771 <br /> ,f _ 7 1 \ p <br /> MAILING ADD S f\OQ f1 T <br /> It <br /> 0 0 <br /> 0 <br /> PROPERTY ADD O <br /> ! II II / 11 .n ; J <br /> LEGAL DESCRIPTION \N fC I� <br /> I Ih CJ�' t.E)r✓ rJ ( Ql S� I 1 391 R(S <br /> SINGGLE FAMILY DWELLING ❑ GARAGE/ACCESSORY STRUCTURE ADDITION ❑ STAIRS ❑ <br /> TYPE OF PERMIT(S): O <br /> FILLING/GRADING ❑ CAMPING UNIT O BUNKHOUSE ❑ 59.692(SV)GAZEBO ❑ DECK ❑ 1J1 <br /> STRUCTURE/ADDITION USE: _J&P" wjn4 �n �CC9eS,S��J -C YV +�fe —b= th d r o <br /> (Ho Cabin; Commercial Business; Bed m; Deck; etc.) (�j Rq.a�f 2 <br /> BUILDING CONTRACTOR: <br /> Cst?j M o Se-c <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 rh X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C <br /> WILL BE RETURNED. x c <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> n <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. o <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW v, <br /> BUILDINGS/STRUCTURES (NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, M w <br /> AND INDICATE NORTH (N). n <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) 3 <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. N ✓i <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK (ST)AND DRAINFIELD(DF),AND ALL DISTANCES 2. <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. 0° <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. �? <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 /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN I(N O <br /> NEEDED. Z)o .� <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: R `p <br /> r Z t , <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. O <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. F <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> X7-he Nor -r, CxGECD 5 re)Par✓ 4) tk-e- A >nm o > -V N <br /> /Zook 7. ,rwu1-ues oui-y i2EPv4c�r� of rtE Or+�+G� /3oA1 A AL< +2fX�f. F on "2. a <br /> -' .a <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my knowledge z w ^ y <br /> and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all Information a e r <br /> contained in this application(Including any accompanying schedule)and I further declare that I recognize that this information I w yyy <br /> am providing will be relled upon by the County of Bumett Wisconsin in determining whether to Issue a permit t further accept all <br /> liability that may be a result of the County of Burnett retying on this Information I am providing in this application. I agree to c <br /> permit county officials charged with ministratlng county ordinances or other authorized person to have access[o the above- � A <br /> m n L <br /> sY <br /> described premises at any rea a time for the purpose of Infection, Ed <br /> OWNER'S SIGNATURE _ ^ e ^ D <br /> 5. <br /> ZONING ADMINISTRATOR <br /> TOW HIP PERMITS Y BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> Orm7 lef-el /)iatlea� �h� tielsoh aso7 <br />