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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS g <br /> OWNER ' ELEPHONE <br /> if IN L , of �eLeA/a. /�a55T 715-as9- 97,9z <br /> MAILING ADDRESS�iOh/STOD er /¢vimGJ Aw.fCee Zo,%44 .Soa/o3 0 <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION P �zo 8-5117-os--f/OD d' y <br /> DWELLING/BUILDINGYE GARAGE/ACCESSORY STRUCTURE O ADDITION O STAIRS O V' <br /> I^ <br /> TYPE OF PERMIT(S): v <br /> FILLING/GRADING O CAMPING UNIT O BUNKHOUSE <br /> 1 ,O 59.692(1V)GAZEBO O DECK n <br /> STRUCTURE/ADDITION USE: C A/)1t '�" 012 C.k L CljIP_ W;dp- am� c <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) o_ <br /> BUILDING CONTRACTOR: IyIILYWnq A40A� S oG 111 A/Gk,1c Y h1 Al I � <br /> o <br /> A PLOT PLAN MUST BE PROVIDED ON AN B !4 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. <br /> A _ <br /> O N n <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARlAL OR TOP VIEW) <br /> O O <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. O ' <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, m I <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) o <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK z o <br /> (OHWM) OF LAKE, STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. F o <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES r <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 B <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. 1 <br /> 3 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN 5 <br /> NEEDED. '� c <br /> o CO <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: n ` ) <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. " I <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. Rl <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 RESIDENT'AL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> mQ> <br /> 7. <br /> 9 xwi�l Sw <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my knowledge 2 w ^y <br /> and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all Information o gg <br /> contained In this application(Including any accompanying schedule)and I further declare that I recognize that this Information I X ;,,7 <br /> am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit I further accept all c U g N U 8 -0 <br /> liability that may be a result of the County of Burnett relying on this Information I am providing In this application. I agree to <br /> permit county officials charged with administrating county ordinances or other authorized person to have access to the above- 8 Ij <br /> described premises any reasonable time for the purpose of Inspection. „ > <br /> SIGN HERE <br /> ,•' (signature of owner or building contractor) ,\ it i- I rA a e> .cl <br /> ZONING ADMINISTRATOR FVV 1 ',i Uno <br /> v R7 <br /> TOWNSHIP PERMITS MAY BE REQUIRED 1�, FP 2 5 2006 H <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF SUANCE N 8 u o <br /> BURNETT COUNT <br /> krm�& 4- e T Se(� -bD &SS /0-3-- ZONING <br />