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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator n <br /> APPLICATION FOR LAND USE PERMITS Lt. w C <br /> Zr <br /> o0 <br /> 6 <br /> OWNER �q S pT3 TELEPHONE6 r1,g51-54 �a I <br /> MAILING ADDRESS i rJ -f"fi Gg-0 V ��Al. 5- O /1. Y' <br /> X85 3 H/4�r Rv� Sp CC aae � <br /> PROPERTY ADDRESS Z 3 J layer Rd. S✓P�/ w7-' 72— <br /> LEGAL <br /> Z 3 <br /> / n <br /> LEGAL DESCRIPTION 'f-r .Src ,y „3 y N <br /> p Z T�u...s 5_. <br /> 1IutS o l/aN 7. / <br /> DWELLING/BUILDIN O GARAGE/ACCESSORY STR CTURE ❑ ADDIT N ❑ STAIRS ❑ <br /> TYPE OF PERMIT(S): W 7'"�e- 14. 1i K t. <br /> � n <br /> FILLING/GRADING ❑ CAMPING UNIT O BUNKHOUSE IK 59.692(1V)GAZEB6 ❑ DECK ❑ I '� <br /> Z <br /> STRUCTURE/ADDITION USE: <br /> ( ome/Cabin; Commercial Business; Bedro m; Deck; etc.) <br /> BUILDING CONTRACTOR: f}"I, s er) <br /> A <br /> H <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PUkNS <br /> C 3 <br /> WILL BE RETURNED. 5e a Prt v i e 5 /+pp l•c a'tr 'c „— <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) o d <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. I 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, <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) c <br /> TO CENTERLINE OF ROAD, (C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK(OHWM) LAKE,STREAM OR RIVER AND WD AREAS,AND (D)LOT DIMENSONS. v <br /> 4. SHOW T EFLOCATION OF THE WELL(W), PTIC TANK(ST)AND DRAINF ELLD (D)I AND ALL DISTANCES ' rn ° <br /> w' <br /> TO BUILDINGS, ROADS, LAKE, LOT LIES. <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 . <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. -i <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN I� <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: r• z O 1 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. A <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. IN <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER O <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. " 717 "nW S -V <br /> HE <br /> 7, <br /> I decare that this applkatlon(Including any accomDanylnq schedule)has been examined by me and[o Me best of my knowledge ,2 H ° <br /> and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all Information e <br /> contained In this appliratlon(Including any accompanying schedule)and I further declare that I recognize that this Information I «yy <br /> am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I further accept all <br /> liability that may be a result of the County of Burnett relying on this Information I am providing In this application. 1 agree to 9yC <br /> permit county officials charged with administrating county ordinances or other authorized person to have access bo the above- tw m D <br /> described premises at any reasonable time for the purpose of inspection. 6 5 .7 <br /> s �z <br /> OWNER'S SIGNATURE (date) Z S <br /> ZONING ADMINISTRATO ` <br /> C V : : <br /> M: H: <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> N g N U O <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FRO DATE OF ISSUANCE <br /> I(N, <br />