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rr, <br /> Z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a 3. <br /> ,� APPLICATION FOR LAND USE PERMITS (f <br /> C Q / <br /> OWNER 1 / rptA TELEPHONE L� (�5a u73-DDDL d <br /> MAILING ADDRESS �. ,Box 12 I'la(fit m ti SG o i 1 �' R <br /> S � n <br /> C �1` <br /> PROPERTY ADDRESS C c C O <br /> LEGAL DESCRIPTION <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING Cl ADDITION O DECK ❑ GARAGE/ACCESSORY STRUCTURE rn <br /> 5 <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT ❑ � 1 <br /> o <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ c j, <br /> n�/r C .�-�I I,, 3. <br /> STRUCTURE/ADDTRON USE: (9 n ct e s- � v � C "`V�-S- Y IAC `� )C( z <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) PC>/C <br /> r <br /> BUILDING CONTRACTOR: n <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yx X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o_ <br /> WILL BE RETURNED. G 0 <br /> � n <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. C <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, v <br /> AND INDICATE NORTH (N). N o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)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. p Q <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK (ST)AND DRAINFIELD (DF),AND ALL DISTANCES q <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> S. 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 _ E <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 <br /> NEEDED. <br /> Z O <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: � <br /> r ,..� <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n z A <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. (; S <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. S� C <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <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 /> 7. T o 0 o y a m <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my 3 0 <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all <br /> Information contained In this application(including any accompanying schedule)and I further declare that I recognize that this v �.> > to <br /> Information I am providing will be relled upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I n ii ao v Burnett <br /> further accept all liability that ma result of the County of Burnett relying on this information I am providing In this o g �„;,, N b <br /> application. I agree to perm un als charged with administrating county ordinances or other authorized person to have m.°z o g 8 0 <br /> access to the above-des ed prem tan asonable time for the purpose of Inspection. m <br /> 3 ^ > o 00 0 0 8 y <br /> OWNER'S SIGNATURE ( ) n H 9 to n ly W.-5 <br /> date o S <br /> ZONING ADMINISTRATOR J1' ' ! P ILLI <br /> � II <br /> TOWNSHIP PERMITS MAY BE REQUIRED n °° <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE »=N»» <br /> ��� 80008 <br /> �E'✓lY),i�' �1- �fC/ jOl�'2G� h� � /�r� lGf�tY/0�� <br /> 6-0b -Dd <br />