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b z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> e� <br /> OWNER Luz ITA T. M ITGNELL TELEPHONE "163 -;d(-I�55 <br /> S <br /> MAILING ADDRESS <br /> PROPERTY ADDRESSI <br /> FINE' J1A57 QLD 14G)i/Y 35 - SIffN ld1 g <br /> LEGAL DESCRIPTION JOT ^ CSM Uq P 41 G L_ 3 S 2 2 T38,✓R(7 S <br /> TYPE OF PERMIT(S): SINGGLE-FAMILY DWELLING K ADDITION ❑ DECK❑ GARAGE/ACCESSORY STRUCTURE ❑ <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ W <br /> u <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> /2`)t $l <br /> STRUCTURE/ADDITION USE: F_ P L E C 1✓ .. c <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; c.) /�rx�g <br /> BUILDING CONTRACTOR: <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. M <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) my <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C <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 R) o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDINGS) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK w <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 DISTANCES <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. lJJ o' y <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 'J o -C <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. i SO <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN 1 <br /> NEEDED. � y <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: O r- <br /> 1 <br /> O <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. 1 n <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. `I I <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. L <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. E <br /> 7. - 893 g06 Lbs? <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my g e,' <br /> knowledge and belief K is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all <br /> information contained In this application(Including any accompanying schedule)and I further declare that I recognim that this a a to <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin In detemdnirg whether to Issue a permit. I m q R R a -i <br /> further accept all liability Mat may be a result of the County of Burnett relying on this InfonTatlon I am pro-viding M this car w ;,,i.+"d: N b <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have ^ c,°2 `o oilZr <br /> access to the above-described premises at any reasonable time for e purpose of Inspection. o R <br /> Mo o H <br /> EN; � � > <br /> cagg <br /> OWNER'S SIGNATURE a ttl y.,h x <br /> �rw aa: <br /> ZONING ADMINISTRATOR iffirianicAll y w : 8 <br /> UU <br /> R a : <br /> TOWNSHIP PERMITS MAY BE REQUIRED o ^ a <br /> �J <br /> THTS PFRMTT SHAT I FYPTRF nNF YEAR FRAM BATF OF T.SBSI IA CQUNT�/ <br /> roNING <br />