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A <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g �,� 9 <br /> APPLICATION FOR LAND USE PERMITS =' `rn`1 <br /> OWNER TELEPHONE ,a 00 <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS 47 <br /> C. <br /> LEGAL DESCRIPTION r '� <br /> o Cl <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITIONX DECK ❑ GARAGE/ACCESSORY STRUCTURE 0 v, <br /> e <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ <br /> r <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION COMMERWCIAL ACCESSORY STRUCTURE ❑ <br /> STRUCTURE/ADDITION USE: GaYQQ 4ddI, 7'o hm-u_ o <br /> o <br /> (Home/Cabin; Co ercial Business; Bedroom; Deck; etc.) 9 <br /> BUILDING CONTRACTOR: <br /> n <br /> c � J <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 1/2 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o J <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C m <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, „� a <br /> AND INDICATE NORTH (N). N p1` o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDINGS) CY7 <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 <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD (DF), AND ALL DISTANCES O <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. 5. <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. I <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 <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: r C . <br /> rr <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. 8 <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. ` Q <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. �/1 <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 = > a o o p >0 -0 <br /> I declare that this application(including an accompanying $ <br /> DD ( g Y panI ac schedule)has been responsible <br /> try r t and to the ties[of my 3 0 ,D _ .o F. w <br /> knowledge and belief R Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all a to d a <br /> Information contained In this application(including any accompanying schedule)and I further dedare that I recognize that this c e, a a m <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I o p <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing In this Q "r b <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have '0 n o 8 <br /> access to the above-described premises at an reasonable time for the u C <br /> ^ Y purpose of Inspection. 8 en <br /> V� 3 A Ston <br /> O 0 0 88 y <br /> y <br /> OWNER'S SIGNATURE 'a d <br /> n ' 2 <br /> (date) <br /> - I�1 I w Cil <br /> ZONING ADMINISTRATOR �J ' �`Q (�I Ql7 O� <br /> 0 <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE - <br /> 1'I-ef- <br />