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Bumett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator c o <br /> APPLICATION FOR LAND USE PERMITS E Al <br /> OWNER \\ C TELEPHONE <br /> MAILING AD SD$F 5 wk SS.33 n ' 3 <br /> PROPERTY ADDRD SS <br /> ol�q�1 <br /> n <br /> LEGAL DESCRIPTIONa- C-a— EA ( <, 5 <br /> SINGLE FAMILY DWELLING GARAGE/ACCESSORY STRUCTURE DDITION STAIRS c <br /> TYPE OF PERMIT(S): ro <br /> FILLING/GRADING , CAMPING UNIT BUNKHOUSE 59.692(IV)GAZEBO DEC <br /> 1M <br /> STRUCTURE/ADDITION USE: iYC Sc lib e I X x' <br /> `\ (Home/Cabin; Corhmercial Busine s; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: <br /> -—1 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 hh X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C <br /> WILL BE RETURNED. A c <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, m "° <br /> AND INDICATE NORTH (N). O <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) i n <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D)LOT DIMENSIONS. N wI 7e <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD (DF), AND ALL DISTANCES . <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. G o W <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 O <br /> NEEDED. <br /> Uri <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: (n <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. ' yu <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. <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. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. ALL. Poe&r%r ofSdnwctti+cs x be 4r � j2htKd 75',r,66 £� A� as tip arm a <br /> a'r^AL'W60 j6/ W,W44-l'7. / /-wVa.G. Soo. <br /> n 6 <br /> I declare that this application(Induding 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 acknowledge that I am responsible for the derall and accuracy of all Information ^ o g? <br /> contained In this application(Including any accompanying schedule)and I further declare that 1 recognize that this Information 1 2, rn <br /> em providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I further accept all 'c r.8 " 8 -V <br /> liability Mat may be a result of the County of Burnett relying on this Information I am providing In this application. I agree to e n`^ <br /> permit county officials charged with administrating county ordinances or other authorized person to have access to the above- o^ <br /> described premises at any reasonable time for the purpose of 1 m „ n m 21 y <br /> c goo <br /> OWNERS SIGNATURE 451-2 7 <br /> (date) yin : 5 a 6 <br /> ZONING ADMINISTRATOR m S' fm <br /> TOWNSHIP PERMITS MAY BE REQUIRED »_ H <br /> w N V~ <br /> THIS RMIT SHALL PIRE ONEY�A�. M DATE OF ISSUANCE 8 <br /> pev S �Swsf�/ fU l�'�7 <br />