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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 = e <br /> OWNER TELEPHONE <br /> MAILING ADDRESS /' !D G <br /> S5ff8 f OS 01'11 <br /> __ 7' _ co <br /> _ V <br /> PROPERTY ADDRESS <br /> 3 /L WL' -eqg <br /> Cl / L� O � <br /> Id V <br /> LEGAL DESCRIPTION/ ' <br /> es <br /> TYPE Or PERMITS): SINGLE-FAMILY DWELLING 0 ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE 0 <br /> BUNKHOUSE 0 59.692(IV)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE❑ <br /> STRUCTURE/ADDITION USE: �2Q /)T'VI S C iL P70/31' <br /> (Home/Cabin;Commercial Business; Bedroom; Deck;etc.) <br />_BUH.DING CONTRACTOR' <br /> O - <br /> F < <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'/z X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PIANS <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PUN DRAWING: (ARIAL OR TOP VIEW) - <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. 7. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW 6 U1 c <br /> BUILDINGS/STRUCTURES(NS), INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, N�0 <br /> AND INDICATE NORTH(N). o 2 .c <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) j t. <br /> TO CENTERLINE OF ROAD, (C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK 1 /I <br /> (OHWM)OF UKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. <br /> 9. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES <br /> TO BUILDINGS, ROADS, UKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PUNNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. ' IF SEPARATE PUNS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE <br /> PUNS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEN <br /> vl <br /> NEEDED. (n <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: E <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. t� Z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. r z <br /> 3. NO GRADING OR SHOREUND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> . _49 NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WGTH I THE REQUIRED WATER UI <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. = z > nr,n c > c _ <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my <br /> knowledge and belief it is true,correct and complete. I acknowledge Mat l am responsible far the detail and accuraq of all - <br /> information contaired in this application(including any accompanying schedule)ano l further declare that l recognize that this <br /> information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. 1 - <br /> furtheraccept all liabilitythatmay bea result of the County of Burnett relying on this information lam providing inthis <br /> applicolion. Iagree to Permit county officials charged with administrating county ordinances or other auMorized Person to <br /> naveaccerstetheabove-UescribedpreMusatan neasionable time Air the purpose of inspection. _ ? E <br /> OWNER'S SIGNATURE <br /> 61 (date) UJ D f n <br /> ZONING ADMINISTRATOR ��jJLA <br /> —MlAY-2 Q-�OI3 <br /> C, <br /> TOWNSHIP PERMITS MAY BE REQUIRED 10; <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISsBtVowrr COUNTY <br /> ZONING - _ <br />