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ti 'a Z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator ° <br /> APPLICA(�TION FOR LAND USE PERMITS y <br /> (y��/�1 fIUI/1t �kn00 <br /> OWNERrim-1 /CJ n r TELEPHONE O� -�` � O <br /> m <br /> MAILING ADDRESS 5 q 'I� r <br /> PROPERTY ADDRESS f g\L-Il C' lu\ �`f U�v7Y8 y t7 L) �h <br /> LEGAL DESCRIPTION N,�' /,1k) <br /> TYPE OF PERMIT(S): SINGLE--FAMILY DWELLING O ADDITION 0 DECK O GARAGE/ACCESSORY STRUCTURE Z <br /> BUNKHOUSE O 59.692(1V)GAZEBO O STAIRS O FILLING/GRADING O CAMPING UNIT O <br /> COMMERCIAL BUILDING O COMMERCIAL ADDITION O COMMERCIAL ACCESSORY STRUCTURE O <br /> 3 Q- <br /> STRUCTURE/ADDITION USE: P2 2 Z <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) o <br /> b <br /> BUILDING CONTRACTOR: acun A� <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) O 3 <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. c d <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, o <br /> AND INDICATE NORTH (N). N Z <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 'o' <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. p L <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD (DF),AND ALL DISTANCES G Cr <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. rn <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 4.1 <br /> LAJ <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE n o <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> _ <br /> G <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: ,� lA1 d <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. b' a <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. o <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. > 0 0 o G� a 0 '7 <br /> 3 3 y a m <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of myg o.°2 ' q <br /> knowledge and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all E m 2 2 a .j <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this .o q 99 m <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I 2 ? V .ya <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing In this <br /> application. 1 agree to permit county officials charged with administrating county ordinances or other authorized person to have ° n.'2 0 0 o o <br /> access to the above-described premises at an reasonable time for the purpose of Inspection. 5 a go o i, 69 A <br /> OWNER'S SIGNATURE <br /> b. Asn > ^: WnE '� 2 <br /> (date) <br /> ZONING ADMINISTRATOR /' (CGfY7 - '_ "'° ° C) M <br /> TOWNSHIP PERMITS MAY BE REQUIRED w <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE N o N o <br /> i�rm + d- e�kl- ptckegurb� +vin-+-6e(_dd �� it 0000 <br />