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in z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a <br /> APPLICATION FOR LAND USE PERMITS <br /> r r <br /> Y � n <br /> OWNER JTELEPHONE <br /> 1' <br /> s <br /> MAILING ADDRESS o <br /> /��f/f_J><.�4C1 ICrn. I yJQ r 'I�Jt,(i 11j�I�ynl �, F <br /> yr{.�+f F{—.c.�Y�V/1 ✓1f �-'r4`1R"G (,(/J L-JV � <br /> PROPERTY ADDRESS �!//„-O /I!n ) u/JG Is,�.� yjV �/�t ,,1' %1�_XA�n o � <br /> '' IlE <br /> LEGAL DESCRIPTION --- -------- o <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING 0 ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE 0 gTT- <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 �V <br /> COMMERCIAL BUILDING El COMMERCIAL ADDITION 0 COMMERCIAL ACCES ORY�ST`RU -'URE 0�- 0 3 <br /> STRUCTURE/ADDITION USE: Z4Af7 �fl,�Sh7 o <br /> (Home/Cabin; Commerdal Bu iness; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: n <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C 0 <br /> WILL BE RETURNED. <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. 7- K n <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB) AND ALL NEW MO 3 <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, p <br /> AND INDICATE NORTH (N). N o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) $ <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK 5 <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD (DF),AND ALL DISTANCES S. W <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. v, so <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 a o ,�, <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. 1 p� = 0 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN w .� co 91 1 <br /> NEEDED. Y✓ <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: LA <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n <br /> z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. A <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER W .� <br /> SETBACK AREA. `('!,I <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. 0 <br /> NOT TO BE U D FOR HUTN HABITA N. <br /> 6 (Yl14Sf /�brJ p Clv7 ow IrLed�� landb(�Jalt/Cons l <br /> 7. T 'rogeccpn acro <br /> r^, n rt 3 3 to a l� <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my 3 0 ,2 R 2 ? w <br /> knowledge and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all E. <br /> Information contained In this appllm (including any accompanying schedule)and I further declare that I recognize that this a <br /> n c a <br /> Information I am providing wlll b i upon by Me County of Burnett Wisconsin In determining whether to Issue a permit. I .e a w S ro <br /> further accept all liability the y be result of Me County of Burnett relying on this Information I am providing in this <br /> application. I agree to perm coun off! als charged with administrating county ordinances or other authorized person to have " .2 <br /> access to Me above-descri pre se t any reasonable time r Me purpose of Inspection. m g 8�w N a <br /> �M� Ky " ySgo88 „i <br /> OWNER'S SI ATU lkl nY o W n ttyy 6 z <br /> I n '^ <br /> (ate) <br /> LIMN <br /> ZONING ADMINISTRATO �� .� _ w '. <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE N N N <br /> x., 80008 <br />