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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g (J1 o <br /> APPLICATION FOR LAND USE PERMITS N N <br /> '� 4}!!�� A TELEPHONE <br /> OWNER <br /> MAILING ADDRESS /Lt 3 26 <br /> ��-- <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION I^ <br /> DWELLING/BUILDING 0 GARAGE/ACCESSORY STRUCTURE 0 ADDITION <br /> "§ STAIRS ❑ S E <br /> TYPE OF PERMIT(S): ' ` I^ 2 <br /> FILLING/GRADING 0 CAMPING UNIT 0 BUNKHOUSE 0 59.692(1V)GAZEBO 0 DECK 0 <br /> h y <br /> STRUCTURE/ADDITION USE: <br /> —ea roo 6-.aPkq3 <br /> (Home/Cabin; Co mercial Business; Bedroom; Deck; etc.) c <br /> BUILDING CONTRACTOR: UYI <br /> r I7°O C>Q <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS -m <br /> ° I <br /> WILL BE RETURNED. I^ <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARL(L OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. nni <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW C I� R <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, ly`f <br /> AND INDICATE NORTH (N). ...I <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) o <br /> (N r-vz <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENTS)TO THE ORDINARY HIGH WATER MARK '� 9 <br /> (OHWM) OF LAKE, STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. Ac <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES r <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. n -'i <br /> , <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, rn \ <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN ly <br /> NEEDED. <br /> g m W <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: = o W <br /> y C <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. �- I <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. 3 <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. <br /> 6. <br /> s pty >r1 m q> �p <br /> 7. n B a �tSr1 <br /> I detlare that this application(including any accompanying schedule)has been examined by ma and OD the best of my knowledge Z y g P : w y <br /> and belief It is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all information e <br /> contained In this application(Including any accompanying schedule)and I further declare that I recognize that this Information I E ' Y <br /> am providing will be railed upon by the County of Burne Wisconsin In determining whether to Issue a permit. 1 further accept all a «`_^W 8 S <br /> liability that may M h of the County of Burnett rel g on thIs Information I am providing In this application. I agree to o 8 <br /> permit county ofNtla arged with administrating cau ordinances or other authorized person br have access bo the above- S <br /> described premisas a y reasonable time r Me pu of Inspection. to m r5 <br /> SIGN HERE v— !o <br /> (sign--a--t�ur_of owner orlbu/l�kling cootractor) (date) y : g > > ,� <br /> ZONING ADMINISTRATOR al'm F1Q�1�an Z U <br /> g00 M <br /> U � <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE C>N 8 N U o <br /> f�(Vn4 4 l jAeN LWoan )<utin )D-10- bb <br />