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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator o <br /> APPLICATION FOR LAND USE PERMITS a IN <br /> o <br /> OWNER [I TELEPHONE 6 <br /> MAILING ADDRESS <br /> ✓✓✓FFF���"' O <br /> PROPERTY ADDRESS a$ 7 <br /> LEGAL DESCRIPTION ` O <br /> SINGLE FAMILY DWELLING GARAGE ACCESSORY STRUCTURE ❑ ADDITION ❑ STil IRS ❑ o 4 —,— <br /> TYPE OF PERMIT(S): (n n <br /> FILLING/GRADING❑ TAMPING UNIT 13 BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ DE K ❑ y I 3 <br /> STRUCTURE/ADDITION USE: Z <br /> (Home/Cabin; Comm r ial Busin s; edroom; Deck; etc.) o <br /> RI \ , <br /> BUILDING CONTRACTOR: <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS m H J <br /> WILL BE RETURNED. C < — <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP EW) O <br /> v <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. turf 0 <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTINC BUILDINGS/STRUCTURES (EB)AND ALL NEW <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, ,p <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUIL NG(S) CU <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MAR <br /> (OHWM) OF LAKE,STREAM OR RIVER AND WETLA 4D AREAS, AND(D) LOT DIMENSIONS. n v, <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC ANK (ST)AND DRAINFIELD (DF),AND ALL DIST NCES J c <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. m (� <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED kND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCH TELT, ENGINEER, BUILDER, CONTRACTOR, ETC. THE _ A <br /> PLANS MUST BE SIGNED AND DATED BY THE OWI,ER. — V <br /> y ' <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE HEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> r <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. x <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. n Q <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. bt <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. E <br /> 6. ^ pe >r)=> o'o <br /> n w 3 F r <br /> 7. <br /> 37 cmc aw .Z. <br /> 1 declare that this application(Including any accompanying schedule)has been examined by me and to the best of my know edge <br /> and belief It Is true,correct and complete. 1 acknowledge that I am responsible for the detall and accuracy of all informatio L c 2 = <br /> contained in this application(including any accompanying schedule)and I further declare that 1 recognize that this informal n 1 M w J M 7 <br /> am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit I further acc pt all <br /> liability that may be a result of the County of Burnett relying on this Information 1 am providing In this application. I agree <br /> permit county officials charged with administrating county ordinances or other authorized person bo have access to the abo - a M <br /> described premises at any reasonable time Por a purpose of Inspection c 0 = > <br /> n zz <br /> OWNER'S SIGNATURE 3 Z1 v <br /> ZONING ADMINISTRATOR <br /> n c' tr1 <br /> TOWNSHIP PERMITS AY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE EAR FROM DATE OF ISSUANCE M <br /> JIt ISI l�/ � �Ck �� bL/ Se�� + ✓�Id a�-o7 <br />