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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Admi 'istrator c <br /> APPLICATION FOR LAND USE PERMITS g <br /> c>J <br /> OWNER ELEPHOlJ�a S o� <br /> MAILING ADDRESSI <br /> Cry (/!/ // i✓ /V.r/ / C� tip <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION 01-� V <br /> 9 <br /> SINGLE FAMILY DWELLING ❑ GARIGE/ACCESSORY STRUCTURE n ADDITIONX TAIRS Cl 0 �p <br /> TYPE OF PERMIT(S): v <br /> FILLING/GRADING❑ CAMPING UN11T ❑ BUNKHOUSE ❑ 59.692(IV)GAZEBO ❑ ECK O 3 <br /> STRUCTURE/ADDITION USE: �N e o C <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) C <br /> BUILDING CONTRACTOR: I <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Ya X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE P T PLANS vn+ <br /> WILL BE RETURNED. F < _ <br /> C <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES To BE SHOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NE Y <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, ' <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUI LDING(S) J <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEAJUREMENT(S)TO THE ORDINARY HIGH WATER MARK e <br /> (OHWM) OF LAKE,STREAM OR RIVER AND WEILAND AREAS,AND(D)LOT DIMENSIONS. n w <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK (ST)AND DRAINFIELD(DF),AND ALL DI STANCES <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED 9)6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, E C.,THE g N <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. — -a O <br /> NOTE: BUILDING/STRUCURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DOh E WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBIECr TO ALL CONDITIONS LISTED BELOW: C <br /> z <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETAIrION IS RESTRICTED ALONG SHORELINE. n <br /> 3. NO GRADING OR SHORELAND ALTERATIONS A�E ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WA R j <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STO E ONLY. E OC <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. <br /> 3 14m °c . ow .�. <br /> I declare that this application(Including any accompanying schepule)has been examined by me and to the best of my k owledge Z u ^ -q <br /> and belief It Is true,correct and complete. I acknowledge that Ham responsible for the detail and accuracy of all inform tion a c 'c > <br /> contained in this application(including any accompanying schedple)and I further declare that I recognize that this infor, abon I <br /> am providing will be relied upon by the County of Burnett Wiscohsin In determining whether to Issue a permit I further iccept all "_ %X <br /> liability <br /> liability that may be a result of the County of Burnett relying on lthis Information I am providing In this application. I aq a to 6 u`+5 <br /> permit county officials charged with administrating county ordinances or other authorized person to have access to the ove- B <br /> described premises at any reasonableto r the p se of In' son. c n �cp+1 c <br /> R It i a <br /> OWNER'S SIGNATURE (Oat J O a N p e >5. <br /> ',N <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERMITS MAY BE REQUIRED o �` <br /> N <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE OM € <br />