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C m p <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a <br /> APPLICATION FOR LAND USE PERMITS N <br /> OWNERl1 <br /> OLD35 Lir TELEPHONE 7C-3 34 J j'2?0 <br /> f✓ U o <br /> MAILINGADDRESS 11y Ma <br /> +-�...r+wr f3eatti FL 3dSs.J I ; <br /> PROPERTY ADDRESS '1 S 1 L� R�. We6Skr, tvj S4B93 <br /> LEGAL DESCRIPTION GLL,iT LO� / D-n <br /> d�Or j^ �eU n d5 T 4D/✓ RrS�✓ Town Gf 7DcKs'on <br /> TYPE of PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION O DECK O GARAGE/ACCESSORY STRUCTURE O <br /> BUNKHOUSE O 59.692(1V)GAZEBO O STAIRS O FILLING/GRADING O CAMPING UNIT O <br /> a <br /> COMMERCIAL BUILDING O COMMERCIAL ADDITION O COMMERCIAL ACCESSORY STRUCTURE ❑ S <br /> STRUCTURE/ADDITION USE: �4.1 U aa c <br /> (Home/Cabin, ommercial Business; Bedroom; Deck; etc.) <br /> EL'ILDING CONMRACTOR: OwlL e I- <br /> ri <br /> 'e . hos plans., <br /> A PLOT PLAN MUST B PROVIDED ON AN B�h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C o <br /> WILL BE RETURNED. c <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) M ^p <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB) AND ALL NEW M '9 3 <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, p <br /> AND INDICATE NORTH (N). N o <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 MARK w <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. C <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD (DF),AND ALL DISTANCES 5. I <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. - F. <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 o <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 ..q C_ <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 Z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. A <br /> 3. NO GRA OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. h•J I <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. on 0cCrolf <br /> A o o'o' h' <br /> 1 declare that this application(including any accompanying schedule)has been examined by me and to the best of my o $ B B ? w <br /> knowledge and.belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all d d y <br /> information contained in this application(Including any accompanying schedule)and I further declare that I recognize that this 9 m i�O, E ' <br /> Q21 a <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I ?w rb <br /> further accept all liability that may be a result of the County of Burnett relying on this In for <br /> C�$ v,N v!21 <br /> o C% <br /> application. I agree to permit county officials charged with administrating county ordlnan r n <br /> access to the above-desQibed premises at any reasonable time for the pu ose of Inspe w,�?-�?A <br /> pW <br /> > O <br /> 6 <br /> OWNER'S SIGNATURE - g ! 't 'y c by n w ±? O <br /> . _ ao <br /> iTd ! co 9 ^ ao <br /> ZONING ADMINISTRATOR <br /> ad <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> t"i i U O O O 0 0 <br />