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Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator I o <br /> APPLICATION FOR LAND USE PERMITS a w <br /> K <br /> "71 S— 84 4 LOO 7 2- 0 <br /> OWNER - TELEPHONE <br /> c�nY+rJ f xF�'WLE V111�dE✓L6oi✓ 6 � - �f'SS-1IFL d <br /> SJ <br /> m OB <br /> MAILING ADDRESS .. <br /> go1� coo pER Avc E ..TN✓eA G:wre.l+1- COA0 J_ � <br /> a <br /> PROPERTY ADDRESS <br /> woiGx StlNJe w�64Jer ws 5'4gti3 � p, <br /> LEGAL DESCRIPTION <br /> 5 fE-cr O.J Z9 'To� '/ y Rw5 <br /> Y e 1 rLAJ Lor 3 c.S vin U 8 P 1 �} J <br /> (IJ v <br /> 1�) Go ./ >-0-, s Z-t-3 -t N Y2 fJ 1: YL} � <br /> DWELLING/BUILDING❑ GARAGE/ACCESSORY STRUCTURE ADDITION STAIRS El6 <br /> TYPE OF PERMIT(S): 4 p <br /> FILLING/GRADING❑ CAMPING UNIT❑ BUNKHOUSE❑ 59.692(1V)GAZEBO❑ DECK❑ <br /> STRUCTURE/ADDITION USE: C "r-'t g f '7— <br /> (Home/Cabin; <br /> (Home/Cabin;Commercial Business, Bedroom; Deck; etc.) c P <br /> BUILDING CONTRACTOR: <br /> s <br /> A PLOT PLAN MUC <br /> ST BE PROVIDED ON AN 8 t/x X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS 0, <br /> WILL BE RETURNED. C N <br /> � O <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. <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, <br /> AND INDICATE NORTH(N). 1 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDINGS)TO ALL LOT LINES,(B) BUILDING(S) n <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK 'O3 <br /> (OHWM)OF LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. z 'y <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES. ;o o 0 <br /> TO BUILDINGS, ROADS,LAKE,LOT LINES. ' <br /> S. 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 y E <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. s <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN411 <br /> NEEDED. W <br /> m <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: v� � p <br /> Y <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. B 3 <br /> n <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. � �Q <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 '� d <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> � ,roanwoaoro <br /> 7. - 0- <br /> c9. nE � <br /> 3 'fl wy y0=° <br /> I declare that this,coectapplication d complete. <br /> any accompanying schedule)has been examined detail <br /> me and to the best of my knowledge <br /> and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all information p <br /> 2�^ . <br /> contained in this application(Including any accompanying schedule)and I further declare that I recognize that this information I <br /> am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit I further accept all ry' <br /> liability that may be a result of the County of Burnett relying on this information I am providing in this application. I agree to permit o ^ o <br /> county officials charged with administrating county ordinances or other authorized person to have access to the above-described 6 <br /> premises at any reasonable time for the purpose of inspection. �� m m s <br /> -y/ Ker ro`�a 3 (v _ <br /> a <br /> SIGN HERE V V n kf a 0 <br /> m <br /> (sig atur of owner ) (date) by g a <br /> ZONING ADMINISTRA OR !(7 A <br /> TOWNSHIP PERMITS MAY BE REQUIRBURNETT COUNTY 0 <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF I1iSM"jW a > o U o <br /> af(nrr-- (ems{--kr W'tW -�D jDh'e) vo ndiroor) <br />