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O <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g <br /> APPLICATION FOR LAND USE PERMITS y <br /> OWNER TELEPHONE <br /> MAILING ADDRESS ��,D l 0 <br /> PROPERTY ADDRESS <br /> J o <br /> LEGAL DESCRIPTION <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ADDITION 1K DECK 11GARAGE/ACCESSORY STRUCTURE ❑- 11 <br /> Jh�J.R <br /> BUNKHOUSE 1:159.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT ❑ <br /> COMMERCIAL BUILDING ❑ COMM/E^RC/IAL ADDITI�NI❑ C/OMMERCIAL ACCESSORY STRUCTURE ❑ s' <br /> STRUCTURE/ADDITION USE: SI.I 1 \ • M J-b'1 -t�\8✓� /r JAI�/ o <br /> (HomoC�m <br /> e/Ca�n/ nercial Busin�Bedroom; Deck; <br /> BUILDING CONTRACTOR: Bee 44 SA,10 <br /> m � <br /> O � <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Vz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o <br /> WILL BE RETURNED. <br /> 0 <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C O <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB) AND ALL NEW <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, a <br /> AND INDICATE NORTH (N). c c <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 <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. ty <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST) AND DRAINFIELD (DF), AND ALL DISTANCES S. <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. n �, <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC., THE o S2� <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. LV�r <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <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. p <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. L <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER 1; <br /> SETBACK AREA. v <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. E <br /> 7' > 0000ab <br /> o n o 3 3 0 � c= � <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my e o 9 q <br /> knowledge and belief It Is true,correct and complete. 1 acknowledge that I am responsible for the detail and accuracy of all o, y m $ E; w 9 <br /> Information contained In this application (Including any accompanying schedule)and 1 further declare that I recognize that this ^ c S o <br /> Information I am providing will be relled upon by the County of Bumett Wisconsin In determining whether to issue a permit. I <br /> further accept all liability that may be a result of the County of Burrett relying on this Information 1 am providin In this c =�0 5 <br /> application. I agree to permit county officials charge th administratin county ordinance or other au raze person to A O E <br /> have access to the above-described rc Ises at any a nable time fo the <br /> purpo spection. > i S w N� r) <br /> OWNER'S SIGNATURE O A o 00$o $$ y <br /> rt a <br /> �— ( te) sr a n m ± O <br /> ZONING ADMINISTRATOR 56 <br /> o6' Z <br /> �9. a � 'r1 <br /> w 6C� ts7 <br /> R tsY <br /> TOWNSHIP PERMITS MAY BE REQUIREDw <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> bl b9 EIf fn y bf i/f <br />