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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS rA <br /> OWNER7 <br /> v 1 + TELEPHONE <br /> c <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS 2 . E7 CI_AIl1 IJY, /1 -� <br /> LEGAL DESCRIPTION . ._� ] l <br /> '7 ' I I - <br /> TYPE OFFERMIT(5): SINGLE-FAMILY DWELLING 0 ADDITION 0 DECKS] GARAGE/ACCESSORY STRUCTURE ❑ <br /> BUNKHOUSECI 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 <br /> COMMERCIAL BUILDING�O�� COMMERCIAL ADDITION O COMMERCIAL ACCESSORY STRUCTURE O <br /> STRUCTURE/ADDITION USE: L.. l� ? <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: /�} L,{ '»',,�[-"-7� //rt. �h.`r1��r�1�,.wY, <br /> A IPLOT PLAN MUST BE PROVIDED ON AN 8 �h Xl l SHEET OF APER. ANV INCOMPL OR ILLEGIBLE PLOT PLANS A <br /> WILL BE RETURNED. 0 <br /> � F <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) = �/1 <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW R <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, C> F <br /> AND INDICATE NORTH (N). V <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES,(B) BUILDING(S) q <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK U: FU•yl <br /> (OHWM)OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. 1 _ <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRATNFIELD (DF), AND ALL DISTANCES f,,J <br /> TO BUILDINGS, ROADS, IAKE, LOT LINES. <br /> 5, INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. -i <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE Jf <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. OTO M{— t <br /> 1 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE GONE WHEN w H <br /> NEEDED. cri <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: <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. W a <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 ^, i/tA <br /> SETBACK AREA. Q�j��"iii' �V <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. s <br /> 6. <br /> 7 apjannrinaoo <br /> I declare that Mise application(including e « S <br /> Pv ( 9 any a¢olete. I ac nowledle)has been examined by r t e d to l a best or my <br /> knowledge and belief it is true,correct and complete. [acknowledge that I am responsible for the detail and accuracy or all or = a =a y <br /> information contained in this application(including any accompanying schedule)and I further declare that I recagnlm that His ='n c <br /> immornation I am Providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. 1 - _ - <br /> further accept all liability that may be a result of the County of admen relying on this information 1 am providing In thisT _o r <br /> application. I agree to permofficialsty <br /> it county officials charged with administrating counordinances or other authorized person to have <br /> access to the above-described premises at any reasonable time for the purpose of inspertion. x ?J (! <br /> Ca <br /> OWNER'S SIGNATURE 'N � ' O =g�i�„11 = c N o O <br /> 'IIV..L[uU O = i <br /> ZONING ADMINISTRATOR _n <br /> 222013 <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUAN( RNETT CO - i+ <br /> - _ <br /> ZONING <br />