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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g V] <br /> APPLICATION <br /> �J FOR LAND USE PERMITS e m o <br /> OWNER IiOrS}�n14L I.JeIV(UFL •tfUitLI TELEPHONE N/ 113' 919 7330 p <br /> MAILINGADDRESS (L{I.1 IbO A,',-A,',- New �rY�fl)T'10�] Wa S7Dn <br /> PROPERTYADDRESS (3-$,9.1-7 crh/'Ify { G v*hSte✓f LV n Y <br /> t <br /> LEGAL DESCRIPTION SF A)E <br /> TYPE DF PERMN(S): SINGLE-FAMILY DWELDNG O ADDITION O DECK❑ GARAGE/ACCESSORY STRUCTURE j( <br /> BUNKHOUSE O 59.692(1V)GAZEBO O STAIRS O FILLING/GRADING O CAMPING UNIT O <br /> COMMERCIAL BUILDING O^^ COMMERCIAL ADONO COMMERCIAL ACCESSORY STRUCTURE O 5' <br /> STRUCTURE/ADDITION USE: dx S DI 4- Ay -C., o <br /> (Home/Cabin; Commerual Business; Bed ; Deck; etc.) <br /> BUILDING CONTRACTOR: 1 <br /> A PLOT PIAN MUST BE PROVIDED ON AN 8 W X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PIANS p e <br /> WILL BE RETURNED. - <br /> DIRECTIONSFORPLOTPLANDRAWING: (ARLAL OR TOP VIEW) m <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 w i <br /> BUILDINGS/STRUCTURES (NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, v <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 m l� <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(OF), AND ALL DISTANCES 5 <br /> TO BUILDINGS,ROADS, LAKE, LOT LINES. <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. _ c <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE91 <br /> PANS MUST BE SIGNED AND DATED BY THE OWNER. l� <br /> � 1 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEN t y <br /> NEEDED. 1 1 <br /> THIS PEPMR IS SUBJECT TO ALL CONDITIONS LISTED BELOW: � rc <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. 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, I}IL^JrI <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, E <br /> 6. <br /> / � paOnnClroS <br /> pn � 333E � � <br /> CZB : 3g _ <br /> I declare that this beapplaabod(Including any aadne. I ac howledschedule)has been responsible <br /> examined of me and ta Me best u my <br /> knowledge and belief K b trve,correct and complete. 1 acknowledge that I am responsible for Me deMil and aaurary of all E. ' booze = <br /> Information contained In Mb application(Including any accompanying schedule)and I further declare that 1 recognize Nat[hK E > > to <br /> Infomabon 1 am pmvidirq will be raged upon by We County of Burnett Wisconsin In detemining whether to Issue a a UnitL I - - <br /> further accept all liability that may be a result of Me County of Burnett relying on this Infmmabon 1 am provping In this - <br /> application. 1 agree M permit county officials charged with administrating county ordinances or other authodzed person to nave <br /> acttss to Me above-described p Ises at any reaspnable Gme r Me purpose of Inspection. - <br /> // m <br /> n a> o <br /> OWNERS SIGNATURE Cli <br /> ZONING ADMINISTRATOR - <br /> a� <br /> TOWNSHIP PER ITS MAY BE REQUIRED ' <br /> EP 9_P013 . 4 <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISVURNSTTCE u M o N u 8 <br /> OOUN <br /> NZONING <br />