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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 F - <br /> = a <br /> a <br /> OWNER TELEPHONE <br /> .TOS�Pft ? �iAtJ� NI ��Q� LoSI- 4$r�-l�pg � 3 <br /> MAILING ADDRESS .4-4a A 2D�IJ Cl,2CL <br /> � S}-FpR -view Mnl '9'G12- <br /> cc ( 1 <br /> `1 <br /> PROPERTY ADDRESS n 1 Ber-,1T -raEP— C.OU-2T '--TA6Hso LI, (,.V I 1 <br /> SOTS &cf, 14O,tf'1, Anct ''72 Of �e (p 2 J <br /> LEGAL DESCRIPTION > I3en+Tre�Rddi tion p�f- ,or, Tj <br /> �/otaagdrsonshtpJbLkson- f3urrw-++ Count-y <br /> TYPE OF PERMR(S): SINGL F MILY� WLLgILawGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ STAIRS ❑ �. <br /> S <br /> FILLING/GRADING Cy CAMPING UNIT ❑ BUNKHOUSE Cl 59.692(1V)GAZEBO O DECK <br /> STRUCTURE/ADDITION USE: <br /> (0h loft <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) ' <br /> BUILDING CONTRACTOR: 2PITE:G2)TY } <br /> A PLOT PLAN MUST BE PROVIDED ON AN B lh X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS O C Q <br /> WILL BE RETURNED. C o_ .- (} <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) c <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. tnf 0 <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW �. n <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). �D o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (6) BUILDING(S) N z <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK ° j�v1 ° <br /> (OHWM) OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D) LOT DIMENSIONS. - 5' <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD (DF),AND ALL DISTANCES p <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. - (� <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. ti <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 /> J <br /> NOTE: BU[LDING/STRUCiURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. ( i <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: tCIO <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. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. B Z o <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER N <br /> SETBACK AREA. O r <br /> 0 <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLow rOR.PR.,,iATE R'ESID'ENTIAL GARAGE/STORAGE ONLY. a } <br /> NOT TO BE USED FOR HUMAN HABITATION. Ul J <br /> G. <br /> 7. E <br /> �IR <br /> I declare that this application(including any accompanying aoro <br /> mpanying schedule)has been examined by me and to the best of my knowledge m <br /> and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all Information w ^ w a c <br /> contained In this application(including any accompanying schedule)and I further declare that I recognize that this Information I <br /> am providing will be relled upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I further accept all y <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 w Nn a; <br /> permit county officials charged with administrating county ordinances or other authorized person to have access to the above- <br /> desulbed premises at reasonabl time for the purpose of Inspection. & <br /> N <br /> Cl <br /> OWNER'S SIGNATURE /`^'w/tQ. 9 -0-IL- <br /> (date) <br /> ZONING ADMINISTRATO �� Fat-) h r" a <br /> 1 . C,o> x <br /> TOWNSHIP PERMITS MAY BE REQUIRED y <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE a <br /> v�U 8UU0 <br /> « � �p <br />