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Burnett County 7410 County Road K,No. 102, Siren,WI 54872 Office of Zoning Administrator � V 1 <br /> APPLICATION FOR LAND USE PERMITS I` <br /> OWNER I I r TELEPHONE O �� <br /> L��UC,C i Cr � <br /> MAILING ADDRESS s b / / I / S� <br /> °-( l l V No {v �v�z3o3 <br /> PROPERTY ADDRESS /_ Vin (J &) �� n <br /> CJ L ,! 15 o r! <br /> LEGAL DESCRIPTION S'F sec- 35 -T Ul�ujw <br /> / I 1 ° <br /> l R. <br /> ET <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK GARAGE/ACCESSORY STRUCTURE ❑ '2 <br /> BUNKHOUSE❑ 59.692(1V)GAZEBO❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ r '� <br /> c <br /> COMMERCIAL BUILDING ❑ El ADDITION COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> &e_ .°° <br /> STRUCTURE/ADDITION USE: '' <br /> ome aTim, mmercia usiness; a room; ec ; em.) <br /> BUILDING CONTRACTOR: � <br /> p < <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'/z X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLAIIs <br /> WILL BE RETURNED. a <br /> O <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) C � <br /> a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW Q, b o <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, _"t'4 5. .� <br /> AND INDICATE NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) 'Rj <br /> (n <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK v l G <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. I <br /> 5. 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 <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 WHE11 I �' <br /> NEEDED. C <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: n <br /> z <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. I ;v <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. Q n <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <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 /> � xya000n >ao v <br /> m n E F Cl <br /> 7. N z c El _. 77 <br /> g O •� n. L, g ? ao .�. <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my <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 <br /> ,t <br /> c <br /> ,<, "7 <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I R O `^, �'o t% <br /> further accept all liability that may be a result of the County of Burnett relying on this information I am providing in this <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have to D v,w L,ti w f'1 <br /> access to the above-described#ato abl Ume for the purpose of InspeRlon. r2 g xOWNER'S SIGNATURE ti J_- 3 _' >Q 0 <br /> (date) 97ZONING ADMINISTRATOR < 'P P RMITS MAY BE REQUIRED 1 <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> �Uooco <br />