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c m z <br /> Q 3 0 <br /> Burnett County 7410 County Road K,No. 102, Siren,WI 54872 Office of Zoning Administrator - <br /> APPLICATION FOR LAND USE PERMITS <br /> a <br /> OWNER TELEPHONE <br /> MAILING ADDRESS -� s <br /> PROPERTY ADDRESS �% n <br /> err <br /> r <br /> LEGAL DESCRIPTION ° <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK GARAGE/ACCESSORY STRUCTURE ❑ <br /> �I <br /> d <br /> BUNKHOUSE❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY SST"RUCTUR ❑ -5-e, <br /> STRUCTURE/ADDIITON USE: Bi11OG el#lfl& Of C7'C�C:� - Sim w"J� ° P _C <br /> (Home/Cabin; Commercial Business; Bedroom; Deck;etc.) <br /> BUILDING CONTRACTOR: �fO.rf c! �JG/✓i7 P'.N S v <br /> O � <br /> A < <br /> c <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'/z X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. <br /> c <br /> � a <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) O <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> v, <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW o o <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, c <br /> AND INDICATE NORTH(N). O c -> <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 t °` <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. c <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 /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. o <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR,ETC.,THE 7C7 `s <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. StS <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. I <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: F O <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. Z <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. O <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER O -� <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 /> Zo ,�o h . 77 <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my o <br /> = o ? w 3 <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all El O m <br /> information contained in this application(including any accompanying schedule)and I further declare that I recognize that this `° w > > m N <br /> information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I c n = Y <br /> further accept all liability that maybe a result of the County of Burnett relying on this information I am providing in this 5 :A <br /> application. I agree to permit coon officials charged with atlministrating county ordinances or other authorized person to F, m E. : o o c C <br /> have access to the above-describe remises t a reasonable time for the purpose of inspection. 8 'm > <br /> i <br /> : w 0 0 <br /> OWNER'S SIGNATURE ''""— oo 8 <br /> (date) W 4 T O <br /> � dRd _ z <br /> ZONING ADMINISi T S 2�1coo <br /> 'm t8 <br /> TOWNSHIP PERMITS MAY BE REQUIRED BURN "' P Ei <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE Z IC o <br /> 6, <br /> U u O O p O O <br />