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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER v�c'`� �GN LG TELEPHONE <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS s•/ s ti M( c+ C� <br /> LEGAL DESCRIPTION `�( ' /.C� ��)_?(�`_�� (� <br /> TYPE OF PERNIT(6): SINGLEFAMILYDWELLINGE ADDITION DECK GARAGE/ACCESSORY STRUCTURE <br /> BUNKHOUSE E 59.692(1V)GAZEBO E STAIRS E FILLING/GRADING E CAMPING UNIT E <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> STRUCTURE/ADDITION USE: L�3Ifk <br /> (Home/Cabin; Commercial Business; edmom; Deck; etc.) <br /> BUILDING CONTRACTOR: U <br /> =' S <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 4 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. <br /> n <br /> DIRECTIONS FOR PLOT PLAN DRAWING: DISTAL OR TOP VIEW) m o <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN ORDRAWN SCALE. — n <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB) AND ALL NEW `m 3 <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, t�--1{ v <br /> AND INDICATE NORTH (N). = o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) e <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(5)TO THE ORDINARY HIGH WATER MARK C�> <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. 1 G <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, y <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. t (JAL 7 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN CCA y <br /> NEEDED. Z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: 7L �- <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. v A <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. C7 <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER `T <br /> SETBACK AREA. day <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/5TORAGE ONLY. _ <br /> NOT TO BE USED FOR HUMAN HABITATION. _ <br /> 6. <br /> 3A > nnno> c <br /> 7. Rn F' 933it <br /> 1 decam MIT this apps lon(including any accompanying schedule)has been examined by me and to Me best of my 3 0.j 3 " <br /> knowledge and belle(i rn <br /> is true,coett and complete. 1 acmowledge that 1 am responslNe for the detail and ecto2ry,of all m = in <br /> Information contained In this application(Including any accompanying schedule)and I further declare that 1 recognize Met this <br /> Information 1 am proyiding will be railed upon by the County of Bumett Wisconsin In determining whether to Is >ue a permit. 1 °' _ > <br /> further accept all liability Mat may be a result of Me County of Burnett relying on this information 1 am pmyiding In this <br /> application. 1 agree to permit county officials changed wdh administrating county ordinances or other alrthodeed person to have <br /> access to the above-tleuhbed Premises at any mason-able time for Me purpose of inspection. °m w' 2 <br /> 5. 0 t C 5C4 1 T ao, 3 a ^ 66xso 0 <br /> OWNER'S SIGNATURE Y 5 <br /> DMUTE <br /> CRs <br /> � L- � r <br /> ZONING ADMINISTRATOR 6/ S c:L - <br /> ZONING E 6 m <br /> TOWNSHIP PE71TS MAY BE REQUIRED SEP 1 7 !J3 <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISS A CE g V 8 0 0 0 8 <br /> BURNETTCOUN <br /> ZONING <br />