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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 _ <br /> OWNER , 1 <br /> TELEPHONE - <br /> MAILING ADDRESS <br /> PROPkRTY ADDRESS ��9 <br /> flan � �r Lk R �anf ur L1�_5 d'9� <br /> LEGAL DESCRIPTION 7a <br /> TYPEOFPERMIT(S). SINGLE FAMILV DWVEWNG❑ ADDITION ❑ DECK ❑' GARAGE/ACCESSORYSTRUCTURE.%r <br /> BUNKHOUSE D 59.692(1V)GAZEBO ❑ STAIRSE] FILLING/GRADING ❑ CAMPING UNIT O <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ _ O <br /> STRUCTURE/ADDITION USE: <br /> (Home/Cabin;/(Corpmerciai eusmess; Bedroom; Deck; e[c) <br /> BUILDING CONTRACTOR: L EA1 e ,' ✓pn^r prqTee. <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 'h X11 SHEET OF PAPER. ANY INCOMPLETE OR O <br /> ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. 0 _ <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) F <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 NEW <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, �J <br /> AND INDICATE NORTH (N). <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 MEASUREMENTS)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND(D) LOT DIMENSIONS. Qs <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD (DF),AND ALL DISTANCES <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> S INDICATE IF A WALKOUT BASEMENT I5 PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. CP <br /> 6. IF SEPARATE PLANS ARE SUBMITTED By AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC., THE �L7 (fl <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. _ ITt/-- <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MV BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUB]ECT TO ALL CONDITIONS LISTED BELOW: S=� <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. n <br /> 3. NO GRADING OR SHOREIAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED, <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER jN <br /> SETBACK AREA. LJ <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> spt > nnon>o � <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the hest of my <br /> knowledge and belief It Is true,correct and complete. I acknowledge that 1 am responsible for Me tleGll and accuracy <br /> Information contained in this application(Including an cy of all <br /> information 1 am y accompanying t WIS ule)and I fuller dodare that I recognize that this <br /> providing will a relied result <br /> by Me County of Burnett Wisconsin In determining whether m issue a permit i <br /> further accept all liability that may be a result of IM1e County of Burne[[rely ng on this Information 1 am Prov ding n this <br /> application I agree to permit county Officials charged with administrating county ordinances ti other auMonzed person to have _ <br /> access to Me above descr bed premises at any t unable time for Me Pu county <br /> at inspectlan. <br /> '^ <br /> OWNER'S SIGNATURE <br /> (date) o I�.> — O <br /> ZONING ADMINISTRATOR _ gJAt , <br /> Ilirt_.'Jl' <br /> TOWNSHIP PERMITS MAY BE REQUIRED i <br /> THIS PERMIF SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE 'Y <br />