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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER", n6 k T 0 , �/A1e TELEPHONE ��(i �G �u Z�Z a �. <br /> LO <br /> MAILING ADDRESS J;7(/p.,^) �y <br /> _3 a <br /> �//�_/ <br /> PROPERTY ADDRESS C2 7 S/Sy V n/ rlGy-' 7LCm// <br /> LEGAL DESCRIPTION /`� �7'" G�-r'~ 'SE' Xrr/ AJ� 1 vi stC54/ x '�6� sosp 7/ <br /> o�J-f. o man e 7 es` ��u .� J <br /> SINGLE FAMILY DWELLING GARAGE/ACCESSORY STRUCTURE ADDITION STAIRS ❑ o <br /> TYPE OF PERMIT(S): .d <br /> FILLING/GRAyD GO CA PING UNIT ❑ BUNKHOUSE 1:1559.69 1V)GA/ZEBO ❑ DECK <br /> S ❑ <br /> STRUCTURE/ADDITION USE: 4�J Pole- a'e� z <br /> abm ommercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS .r, r) <br /> I <br /> WILL 8E RETURNED. <br /> o <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) C <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m a <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB) AND ALL NEW c <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, m '� <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDINGS) n <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK ,a <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. N �, <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD (DF), AND ALL DISTANCES c <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. m O <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. cJ c VJ <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. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN ff�� <br /> NEEDED. + <br /> THIS PERMIT IS SUB3ECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. " z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. n <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 I�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.7. <br /> 6. <br /> rt 3 R a tr <br /> I declare that this application(including an accompanyingschedule has been examined b me and to the best of m knowledge <br /> PP ( 9 Y ) Y Y 9 <br /> and belief It Is true,correct and complete, I acknowledge that I am responsible for the detail and accuracy of all Information c 0 � <br /> contained In this application(Including any accompanying schedule)and I further declare that I recognize that this information I w A a b <br /> am providing will be relled upon by the County of Burnett Wlsconsln In de nnlning whether to Issue a permit. I further accept all a p o N o -0 <br /> liability that may be a result of the Coun f Burnett relying on this Info adon I am providing In this a Ilcatl Ire w`^ <br /> permit county officials charged w@h a Is[rat, coun ordinances ther authorized person tp- n <br /> described premises at any reason e e f r se of Inspectl , '�D \\/1 � w, c WOOWNER'S SIGNATa n z <br /> e= ad <br /> �J 5. <br /> ZONING ADMINISTRATOR aQ BU d :" g ;UUN <br /> Fy <br /> TOWNSHIP PERMITS MAY BE REQUIRED ZONING <br /> a ! ` <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE W w <br />