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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g <br /> APPLICATION FOR LAND USE PERMITS y y L <br /> 5 C (� <br /> A y7 a V <br /> OWNER Q-C9 f� �, VCMMbV Pe✓PvrGlno-tc TELEPHONE <br /> MAILING ADDRESS a%�000 ST.� \gtLQ, 13 v 3 <br /> PROPERTY ADDRESS Xq O 6 3 e �a 2-1e, 49 lJotln.6 v V S q e3o <br /> � °< <br /> LEGAL DESCRIPTION Le.F Z CS►`� VC) P 1 Z r <br /> / ill el QV far' 2 arc $+4)�yo-/y ° <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ADDITION `DECK GARAGE/ACCESSORY STRUCTURE <br /> BUNKHOUSE 59.692(IV)GAZEBO STAIRS FILLING/GRADINGCAMPING UNIT <br /> m <br /> COMMERCIAL BUILDING COMMERCIAL ADDITION COMMERCIAL ACCESSORY STRUCTURE a <br /> STRUCTURE/ADDITION USE: O✓'!�� p } z <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) N <br /> BUILDING CONTRACTOR: <br /> n <br /> 0 <br /> O <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. c b <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, C> v <br /> AND INDICATE NORTH (N). z N z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) y (�' ° <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. p <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD (DF), AND ALL DISTANCES V v <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 o <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. OU p � O D9 <br /> ryryI. V7 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN 60 <br /> NEEDED. (.0 <br /> THIS PERMIT IS SUB3ECT TO ALL CONDITIONS LISTED BELOW: C) <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. Fj n 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. (? <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. O <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. p <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. d � <br /> 7. > o o � np > "TJ <br /> 0 g m, til <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my 3 0 1 8 9 P w E <br /> knowledge and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all e— y E E S' it :y <br /> Information contained In this application(including any accompanying schedule)and I further declare that I recognize that this E. > > w N <br /> Information I am providing will be relied upon by the County of Burned Wisconsin in determining whether to Issue a permit. I ? 9:ao S b <br /> further accept all liability that may be a result of the County of Burned relying on this Information I am providing in this L' <br /> applkabon. I agree to permit county officials charged with administrating county ordinances or other authorized person to have o o rrr <br /> access to the above-des <br /> P at arty le time for the purpose of inspection. s w N g <br /> > gg0Ugoy <br /> OWNER'S SIGNATURE i> _ ra n y ^n O <br /> = 6 g 6 Z <br /> °, <br /> ZONING ADMINISTRATORS r �(i( l�(�C(/'� N 13 2011 y E <br /> TOWNSHIP PERMITS MAY BE REQUIRED BURNETTCOU \ °° <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE ZONING 1 <br /> J N N N U N <br /> u ,n g000g <br /> Pel-rhi� 4 1 e fk r mi ted fin 6evge4 R ai, 16_aM,9r 6-a a (1 <br />