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Sumett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS = a <br /> OWNER TELEPHONE x <br /> + 5 <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS \ <br /> LEGAL DESCRIPTION <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING 0 ADDITION O DECK O GARAGE/ACCESSORY STRUCTURE 0 � <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING O CAMPING UNIT O <br /> COMMERCIAL BUILDING COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURED <br /> STRUCTURE/ADDITION USE: ytI�� <br /> (HomelAWn; Commerdal Business; Bedroom; Deck; etc.) <br /> ( <br /> BUILDING CONTRACTOR: "✓� <br /> r. <br /> O 3 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 K X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS z _ <br /> WILL BE RETURNED. T _ <br /> n <br /> DIRECTIONS FOR PLOT PLAN DRAWING: OR TOP EW) <br /> DISTANCES <br /> BE <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN ORDRAWN SCALE. <br /> EXISTING <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/S/STRUCTURR ES (EB) AND ALL NEW R v <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, 91 <br /> AND INDICATE NORTH (N). v o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) lv <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETIAND AREAS, AND (D) LOT DIMENSIONS. O <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. <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. j <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., <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN �y y <br /> L NEEDED. f- <br /> THIS PERMIT IB SUB]ER TO ALL CONDITIONS LISTED BELOW: `i l <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. ) !u a <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. U. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER p <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. i <br /> 6. <br /> z Pya �no nG � , <br /> 7. <br /> 5z � R � ff� . <br /> 1 declare knowledge <br /> Mat MLs applicationIstrue, <br /> ,connect <br /> arty accompanying I lac acknowledge <br /> e)has Eels examiresponsible <br /> Ey me and t a Eat of my B 0 .� ,'.,.l <br /> knohn do and Eegef i k true,me>Y Intl mining a I atlm panyin that i am rend Wile for the retch Intl aavmcy M all m 'o c 'm a <br /> Inmrmatlon I a contained di g, applicationed upon by <br /> any accoxmty of Bte ng s Wiscon)n In <br /> I fuller ng whether <br /> that 1 recognize p MIL MIs `_-> > s_v <br /> inm er accept <br /> 1 am pmviiy c Mg Ee rated a upon of he County a/Burnett Wyng on Ins Information <br /> I am pr m Issue a his I - - <br /> mrther adept all IWElliry chat may tie a resat of Me County of Burnett Hying on this Inmrmetlan I am proNtling In this <br /> application. 1 agree m penntt munry alRdak tlwrgetl M InLeC'amg oounry oMlrw�a etlw autimCeO person m have ^ n.j �"' $$ � <br /> aeras to the aEove-0r tetl premLses rt tlme Me purpose W Inspection. <br /> Z7 � n cco g <br /> OWNER'S SIGNATURE y,—JUN-1-4-2013 <br /> -1-4-2-013 n c <br /> ZONING ADMINISTRATOR _ _ '''�� <br /> 9 <br /> G <br /> TOWNSHIP PERMITS MAY BE REQUIRED pp�� <br /> THIS PERMIT SHALL EXPI/R�E yO�}NE Y 1A FROMPDATE OF ISSUAI7LE'�PNETT COUN <br /> [� ZONINGu _=8 <br /> Q/US cJ� f(3 Fir;/hpel3 l o C -CLQ/�S d Lj�• <br />