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F <br /> Bumett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator & <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER ((,/� /` ^�I-1" I I TELEPHONE <br /> MAILING 15:W <br /> /� ^y'//� _ <br /> PROPERTY ADDRESS `� ��� _ I <br /> LEGAL DESCRIPTION S' <br /> 1 <br /> TYPE OF PERMIT(S); SINGLE-FAMILY DWELLING ADDITION DECK GARAGE/ACCESSORY STRUCTURE <br /> BUNKHOUSE 59.692(1V)GAZEBO STAIRS FILLING/GRADING CAMPING UNIT <br /> b <br /> COMMERCIAL BUILDING COMMERCIAL ADDITION COMMERCIAL ACCESSORY STRUCTURE S <br /> STRUCTURE/ADDITION USE: SCreerneG D✓G.L) n1 a iP <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> X� `' <br /> BUILDING CONTRACTOR: <br /> rn �� <br /> O � <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8%X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o_ <br /> WILL BE RETURNED. c <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) — O <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW Rf as <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). 1 N '� z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) o U) <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. <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST) AND DRAINFIELD (DF),AND ALL DISTANCES SU — 1, <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. ' <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 o <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. X� <br /> 1 „1 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. V 1 n ,z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. ) Ln "- <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. C7 <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. i <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. r <br /> NOT TO BE USED FOR HUMAN HABITATION <br /> +i rr�0_ Gzdd -h bn 144�Z D n l y. (YI uS�fo l l ou> rea,a ✓err�,7 t� <br /> ,. oln �llneCf b [�( nd �a{�/00rl6Lyaftoh �foaltYl�en � g 3 ; a F <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my 30 OR o R _ r <br /> knowledge and belief it Is true,correct and complete. I acknowledge that I am responsible for Me derail and accuracy of all 9. ' ­ m a y <br /> information contained In this application(including any accompanying schedule)and I further declare that I recognize that this `° ° D 9 m ti <br /> information I am providing will be relied upon by the County of Buett Wisconsin In detenining whether to Issue a permit I 2 n w v b <br /> rnr <br /> further accept all liability that may be a result of the County of Burnett relying on this information I am providing in this o wa b <br /> application. I agree[o permlt isle charged with administrating county ordinances or other authorized person to have <br /> access m the above- ri ed premises ata reasonable time forthpurpose of Inspection. c m 5 9' > <br /> l T kD �n aoo $ Y <br /> OWNER'S SIGNATURE / / /D �' a to v, m O <br /> (d ) ;�ao � E � � - x <br /> Fj- !n F h <br /> 1 I I ae � <br /> ZONING ADMINISTRATOR �l Im Lan I�q,I� '� C O . c w B 6 t�r1 <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE G =N <br /> Pe((n-I - q le-f kor (noL-Led -ft) Robed "4 ► l-6l -tD 8 <br />