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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a ro <br /> APPLICATION FOR LAND USE PERMITS y: <br /> a m � <br /> ^ O <br /> OWNER l TELEPHONE 15 q&.3 -_0MAILING ADDRESS 77 R <br /> 5/ t r <br /> w <br /> PROPERTY ADDRESS �P I "21l <br /> LEGAL DESCRIPTION /f// IA <br /> vS�Y A 1/,1 <br /> TYPE OF PERMIT(S): SINGLE-/FI/AMILY DWELLINGGL❑ /ADDITION Od DECK❑ RAGE/ACCESSORY STRUCTURE ❑ m <br /> 5 <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ o <br /> STRUCTURE/ADDITION USE: z (p <br /> (Home/Cabin; Commercial Business; (Bedroom, Deck; etc.) <br /> BUILDING CONTRACTOR: r T✓t,c I D L e <br /> n <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Vz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C o <br /> WILL BE RETURNED. ,y <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARTAL OR TOP VIEW) t <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C a <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW tmrf ro 9 <br /> BUILDINGSISTRUCTURES (NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, v <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES, (B)BUILDING(S) <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. t7 <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES 5 <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. m <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 l <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE. NEEDEDG/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN y W <br /> THIS PERMIT IS SUBIECr TO ALL CONDITIONS LISTED BELOW: <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. <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 y` <br /> SETBACK AREA. I C. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. ND ae4l'l bedrooYhs +D be Cor+Sfr�C#,d ptr kAmrrdf& r,).,slr"eA4 . <br /> 7. <br /> I declare that this application(Including any accompanying schedule)has been enmmirhed ma and bD the best of my <br /> S <br /> knowledge and belief K Is true,correct and complete. I admowledge that 1 am responsible for the detail and accuracy of all � � �y�;tv;F_a <br /> Information contained In this application(including any accompanying schedule)and I further declare that I recognize that this ^ S.a a m <br /> Information 1 am providing will be relled upon by the County of Burnett Wisconsin In determining whether to issue a permit. I E c A $a <br /> further accept all liability that may be a result of the County of Burnet relying on tits kdormadon I am providing In this s�B - <br /> application. I agree to permit county oMclals charged with administrating county ordinances or other authorized person to have <br /> access to the above-desotbad premises at any retable time for the purpose of inspection. <br /> c ag000Sy <br /> OWNER'S SIGNATURE �.. �M�"'— / _ 61� a'L <br /> \� n (date) o� ya COb�cZ <br /> ZONING ADMINISTRATOR V ' a n ( -/�/� qq <br /> TOWNSHIP PERMITS MAY BE REQUIRED � �y <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE H=N»H <br /> {n B( �a Kavnn ' �a-l'7 sJ �Us0000 <br />