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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g � <br /> APPLICATION FOR LAND USE PERMITS = d <br /> OWNER TELEPHONE x <br /> �� r � #- �XnI oL2 9s"z <br /> MAILING ADDRESS Zoo - + Qt.`l • , <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DEC GARAGE/ACCESSORY STRUCTURE ❑ <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ _ ' <br /> STRUCTURE/ADDITION USE: 4�4IC P i <br /> (Home/Cabi ; Commercial Business Betlroo eck; etc.) <br /> It=i(7�I IIKj�C, <br /> BUILDING CONTRACTOR: C� (Yt I - <br /> r 3 <br /> A PLOT PLAN MUST BE PROVIDED ON AN BY.X11 SHEETOF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS z �_ <br /> WILL BE RETURNED. <br /> 2 <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) t*. <br /> I. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN ORDRAWN SCALE. , 5 <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/ <br /> STRUCTURERE v <br /> S (EB)AND ALL NEW x <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). O <br /> 3. SHOW DIMENSIONS INO FEET OF THE FOLLOWING: (A) TS)T THE TO ALL LOT LINES, TE BUILDING(S) <br /> TO CENTERLINE , ROAD, O BUILDING MEASUREMENTS)TO THE )ORDINARY DIM HIGH WATER MARK <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND(D) LOT DIMENSIONS, <br /> 4. SHOW THE LOCATIONTHE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD (DF), AND ALL DISTANCES 41.t <br /> TBUILDINGS, ROADS,, LAKE, LOT LINES. ry' <br /> S. INDICATE A WALKOUT BASEMENT PLANNED AND SHOW AREAS TO GRADED A FILLED. r^l <br /> 6. IF SEPARATE PLANBY 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 <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE, W 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 <br /> SETBACK AREA. <br /> 5. SETBACK ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NAT TO BE USED FOR HUMAN HABITATION. <br /> 6. c�J/Ce c"-'C'. t OV c6_ M E ,5-i� " eV/i,ell . £ <br /> 7. (/ zp 2pnpn>� <br /> I declare that this application(Inducing any accompanying schedule)has been examined by me and to the hest of my 3 o j _-,'^, ,'^, ' <br /> knowledge and belief It Is true,correct and complete. I acknowledge Mat I am responslble for the detall and accuracy of all a -� <br /> Information contained In this application(Including any accompanying schedule)and I further deeahe that I recognlm that this <br /> Information I am proNtling will be relied upon by Me County of Burnett Wisconsin In determining whether to Issue a permit. I _ <br /> further accept all Ilabllky,that may be a result of the County of Burnett relying on this Information I am providing in this <br /> appllotlon. I agree to Permtt county officials charged wRh admiloduatlng county ordinance;or other authorized person to have <br /> access to the above-desptbM premises at <br /> any reasonable time for the purpose of InspeNon. Ot <br /> p TGy� � So �8 <br /> OWNER'S SIGNATURE ItV}- <br /> , rnD =c�o �.r <br /> �Ufi�Zl3 _. F <br /> ZONING ADMINISTRATOR `•C�/� 'I"_� vir a <br /> TOWNSHIP PERMITS MAY BE REQUIRED qi ipNETT COU <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE . <br /> ZONING o e g <br />