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c � o <br /> a <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> o <br /> TELEPHONE <br /> MAILING ADDRESS algoq_ J- 4,--) <br /> PROPERTY ADDRESS n ri <br /> i <br /> � <br /> I s <br /> LEGAL DESCRIPTION 6b 1 L I _T <br /> TYPE OF PERMIT(S): SIIIIINGJJJGLL"''EE--FFFA�J!lIMILLYY DWEELJLIING ❑ ADDITION 0 `(DECK 0 GARAGE/ACCESSORY STRUCTURE ❑ <br /> BUNKHOUSE❑ 59.692(1V)GAZEBO❑ STAIRS ql FILLING/GRADING ❑ CAMPING UNIT El <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> STRUCTURE/ADDITION USE: at�C'<� ip 1a.V2 9 <br /> (Home/Cabin;Commercial Business; droonn; Deck; etc.) <br /> BUILDING CONTRACTOR: -L—ULcpn-6 7 ! cfpz <br /> ,da <br /> J � o <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8112 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS _ y <br /> WILL BE RETURNED. <br /> n a <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) c d <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m <° <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW d 3 <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, N p <br /> AND INDICATE NORTH(N). C7 z <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 o <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT 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 IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. ,� c <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR, ETC.,THE 73 <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 /W <br /> NEEDED. Q Imo. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: Ul E, <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. H 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. h <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. Ul <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. o 0 0 0 n c' M <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my g o Z A `^�-' `^°' ' w' <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all : m m m EL <br /> information contained in this application(including any accompanying schedule)and I further declare that I recognize that this A E. D m <br /> information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I <br /> further accept all liability that maybe a result of the County of Burnett relying on this information lam providing in this a Ei <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to <br /> have access to the above-described premises at any reasonable time for the purpose/of inspection. <br /> cdm6 <br /> Y <br /> OWNER'S SIGNATURE (date) WE 10 <br /> ZONING ADMINISTRAp Z�ti <br /> WNSHI il <br /> PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANIBURNETT COU <br /> ZONING <br /> 1a9� NfA fR�O <br /> tai vNi O O O O O <br />