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F O <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g T <br /> APPLICATION FOR LAND USE PERMITS H: y <br /> OWNERTELEPHONE o <br /> DbU �L fps OHwL-r� Eve-, � 1a-3G9 <br /> MAILING ADDRESS'52l 1 LPKG 61'rno AUfL y v g <br /> �F?K£ E'��o Y✓�i9 S� 4 0� d 1�—� <br /> PROPERTY ADDRESS <br /> J O ID o I <br /> LEGAL TIESLTQYTIVIV <br /> 0 <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING 0 ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE <br /> BUNKHOUSE 0 59.692(1V)GAZE80 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT ❑ <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ r" <br /> t o <br /> STRUCTURE/ADDITION USE: r� d / IIT <br /> (Home/Cabin; Comm colal Business; Bedroom; Deck; etc.) 0 <br /> BUILDING CONTRACTOR: — <br /> O � _ <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 r/z X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C 0 <br /> WILL BE 9&_VjVdLEST. „t <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> i. 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 b Int o <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, v <br /> AND INDICATE NORTH (N). I z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) ° <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER NARK � m <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (0) LOT DIMENSIONS. i g <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD(DF), AND ALL DISTANCES 'A-I <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> S. INDICATE IF A WALKOUT BASEMENT 1S PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. y <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. e <br /> 4J I, I <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN C <br /> NEEDED. 111 II�� 1 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. Q ,X <br /> s'. NO 0ZA0fNG OR SHORELRN'D Ati'ERit7i70NS AKE Ai.?GOWft tAVLESS SPECI'f CRttV PEPMfffTEa. � <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER d <br /> ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE 0 LY 0 <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. E <br /> 2 R n 0 0 0 m ha y <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 accompanyng schedule)and I further declare that I recognize that this <br /> Information I am providing will be refiled upon by the County of Burnett Wlsconsin In determining whether to Issue a permit. I <br /> further accept all liability that may be a result Of the County of Burnett relying on this Infonnedon I am providing in this b <br /> application. I agree to permit county officials charged with administrating county onlinances or other authorized person to have <br /> access to the above-desaib premises at any reasonable time �a purpose of inspection. <br /> ^ <br /> OWNER'S SIGNATURE <br /> ZONING ADMINISTRATOR y I� w <br /> WUSHIP PERNUTS MAY BE REQUIRED <br /> SEP 8 0 2011 <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSU <br /> NETT COU <br /> ZONING <br />