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i <br /> Burnett County 7410 County Road K,No. 102, Siren,WI 54872 Office of Zoning Administrator g <br /> APPLICATION FOR LAND USE PERMITS : a <br /> OWNERK A ro ( _ \ 1 TELEPHONE -�_ 3 I _ ;,,. S I O4 <br /> 1�• 7V 1\ - <br /> 01 <br /> MAILING ADDRESSN I v <br /> 1L,3 y I$'i N y9-J E. n1. LJ. PJ iLuJ 6 R G if n) M <br /> PROPERTY ADDRESS <br /> �) 77SMrx £P,tl4t_ Rcle Df�ni t-k.", LA, t i <br /> LEGAL DESCRIPTION <br /> 511,01 &5 s 'y^ a I <br /> tl 1 0-AP E 9S-rAMS Lx�r 6 <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING❑ ADDITION❑ DECK(3GARAGE/ACCESSORY STRUCTURE❑ <br /> BUNKHOUSE❑ 59.692(1V)GAZEBO❑ STAIRS❑ FILLING/GRADING Cl CAMPING UNIT❑ it JE <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION❑ COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> STRUCTURE/ADDITION USE: ZX V 1 7 <br /> o <br /> (Home)Cabin;Comrnarcial a siness;Bedroom;Deck;etc.) <br /> BUILDING CONTRACTOR! n <br /> O <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 ya X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C a <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PIAN DRAWING: (ARIAL OR TOP VIEW) <br /> I. 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/STRUCR)RES(08), INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). o N <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(e)BUILDINGS) <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. o <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCESii <br /> TO BUILDINGS,ROADS,LAKE,LOT LINES. ` w <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 r, <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> I <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. U'1 -i <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: t- 4-- <br /> 1. <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n Z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. J a <br /> 3. NO GRADING OR SHOREIAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. rte, <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER V#1 <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. E <br /> 6. <br /> 7. fat noo>om <br /> 1 declare that this application(Including any accompanying schedule)has been examined by me and to the hest of my 'm <br /> knowledge and belief R le true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all p=E'>=a i H <br /> Information contained N this application(IndudWg any accompanying schedule)and I further declare that I recognize that this g D D p <br /> Information 1 am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. 1 9 I R" ? Y< q <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. T agree to permit county officials charged with administrating county ordinances or other authorized person to have aa <br /> access to the above-described premises at any reasonable time for the purpose of Inspection. °p a 5 i <br /> O W V 1 <br /> 3 as O$O <br /> OWNER'S SIGNATUREI IF7 dI�) y y g p ,e „o <br /> ZONING ADMINISTRAITOWNSHIP <br /> A;MITS <br /> � x to <br /> MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> yN � � <br />