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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator k <br /> APPLICATION FOR LAND USE PERMITS c <br /> OWNER TELEPHONE <br /> ear e7 <br /> MAILING ADDRESS /. INN � <br /> PROPERTY ADDRESS <br /> C.�/� <br /> LEGAL DESCRIPTION I <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITIONDECK ❑ GARAGE/ACCESSORY STRUCTURE D <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS O FILLING/GRADING O CAMPING UNIT❑ <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION D COMMERCIAL ACCESSORY STRUCTURE ❑ _ <br /> STRUCTURE/ADDITION USE: <br /> (Home/Cabin; Commer/cial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: <br /> X179 A,r, / 3 ��G -X �sS <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 YS Xl1'SMEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS _ 9- a <br /> WILL BE RETURNED. rl <br /> T <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. - — <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW *' 3 <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, 3 v <br /> AND INDICATE NORTH (N). j� m o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S) TO ALL LOT LINES, (B) BUILDING(S) q6 <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK rj- m <br /> (OHWM)OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND(D) IAT DIMENSIONS. — <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST) AND DRAINFIELD (DF), AND ALL DISTANCES <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT 15 PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. _ <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. y CIl <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. i <br /> THIS PERMIT I5 SUB1ECi TO ALL CONDITIONS LISTED BELOW: lS r O <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. <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 �(U <br /> SETBACK AREA, <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. S, <br /> 6. <br /> ar, n ?, C cs r <br /> I declare that MIs application(Including any =camp ivylng sdaduk)has been examirred ^' Z n <br /> try one and <br /> kmwl alio and belief 15 true,otNeG and mining an I acompanyin Bat I am rend If rt for Me detail and aav ze o/all — - - - <br /> Information I am p ed di this appilcatio l own i t any County <br /> of accompanying :Wisconsin <br /> and I lomoli detlare that I recognize that this Y <br /> Infomatlon I am pmviBinq will be relied upon by the County of Bomar[WlsmrW n In tletermining wheMer to Issue a permK. I ti _ = t <br /> furl accept all liability Mat may to a result of Me County of Burnett relying on this Information I am ProAdIN In this n If-- <br /> t <br /> application. I agree to permt,county officials charged wIM administrating county ordinates or other auMarized person to have ^ n J 66� c r <br /> access W Me above-desalted prem s at any reasonable time for MNon.e purpose of inspex a g a W N <br /> o <br /> OWNER'S SIGNATURE �,� (� n m a o <br /> (date) - r 3 <br /> ZONING ADMINISTRATOR <br /> ? R <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE u u o 0 0 0 <br />