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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator it <br /> APPLICATION FOR LAND USE PERMITS G - <br /> OWNER �WM.-(-S1�(cb �4hq�npet TELEPHONE <br /> MAILING ADDRESS /1CZ 46 <br /> - O <br /> PROPERTY ADDRESS <br /> Fie •# ,�p/Y��.r 5/i Unra Ihiit,,.[lr��a7�IGo la <br /> LEGAL DESCRIPTION „ <br /> ov. - l/Grl e <br /> TYPE OF PERMIT(5): SING DWELLING❑ ADI ❑ DEC ❑ GARAGE/ACCESSORY STRUCTURE❑ <br /> BUNKHOUSE 59.692(1V)GAZESO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDITION❑ COMMERCIAL ACCESSORY STRUCTURE ❑ r <br /> o <br /> STRUCTURE/ADDITION USE: _ C)6brt.. <br /> (Home/Cabin; ComA�mercial Business; Bedroom; Deck;etc.) —_-- <br /> BUILDING CONTRACTOR: _ TGC C..urt �dVGf ot_ <br /> n <br /> A PLOP PLAN MUST BE PROVIDED ON AN a K X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS O <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARUIL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW •a e <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, 3 <br /> AND INDICATE NORTH(N). v <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDINGS)TO ALL LOT LINES, (B)BUILDING(S) .° <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> 2. <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. — <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. 3, <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. ti <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. 4 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. y <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: <br /> r <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. 0 Z <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 /> 6. NOT TO BE USED FOR HUMAN HABITATION. <br /> 7. <br /> >xn0oe°Dp0 -o <br /> R R E a 3 <br /> EX In <br /> I declare that this application ,correct any accompanyingIac schedule)has been eYamloed by r t and to the best of my R e,°Z � a <br /> knowledge and belief i y true,correct and complete.dingI acknowledge that t am rand Ifurt for Na retch and accuracy or all c <br /> information I am Providing <br /> di thisapplication <br /> relied(Including any lintyaccompanying ;Weduk)and t further declare that I recognize that this E D a m� > <br /> further <br /> accept <br /> t am provliy t wN be relied upon by Me County of Burnett Wisconsin o h determining whether to Issue a permit. 1 I 2 g n— Y <br /> furNu aaept atl IIaMIRy MM may be a result of The County W Burnett relying on Mk k/ormatiun I am providing In c <br /> aPpgcabpn. I agree to Permit county officials charged with administrating mu <br /> atter to Me above-described Premises at any reasonable time far Me g ordinances or other a zed rso <br /> Purpose f Inspection. S W S a f1 <br /> OWNER'S SIGNATURE G l <br /> aA6'> 8So88 > <br /> ZONING ADMINISTRATOR 11 r `za <br />