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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 w G� <br /> �. <br /> OWNER % / ' 1 TELEPHONE <br /> 7 <br /> nlMAILING ADDRESS _ <br /> PROPERTY ADDRESS � A/h <br /> J / <br /> C) � r <br /> LEGAL DESCRIPTION I <br /> H N. 9sfi o <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION DECK ❑ RAG CCESSORY TRU RE ❑ m <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ I S <br /> COMMERCIAL BUILDING ❑ COMMERC LAD ON ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ c <br /> STRUCTURE/ADDITION USE: Y w '%25 y to <br /> (Home/Cabin;,Commercial Business; Bedroom; Deck; etc.) / ^ Ce-If2 <br /> BUILDING CONTRACTOR: r1 I.L /� a— o"L�`� — cT 3 1 <br /> j <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Ya X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o % <br /> WILL BE RETURNED. � <br /> �J <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) n d <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C a <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, 3 <br /> AND INDICATE NORTH (N). 1 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) W <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK a <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. 00 r Q <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD (DF),AND ALL DISTANCES ti <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. 3. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. ti <br /> 6. IF SEPARATE PIANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE T <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. I ° <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: 'C p <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. 0 Z rJ <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. 9 'F <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER C ., <br /> SETBACK AREA. N <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. V'It <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. � <br /> 7. <br /> ;p ar) r)� a ro <br /> zn3 � � <br /> I odare that this application(Including any accompanying schedule)has been examined by me and to Me best of my 3 <br /> Informatiovdedge and belief In <br /> true,correctio and complete. I admowledge that I am responsible for the detail and accuracy of all a <br /> Information IcontainedProv di this application(Including any accompanying schedule)and I further dela that I —— w ° <br /> Information I am providing t will a rolled upon by the County d Burnett Wisconsin In determininghe recognize that this .°° E. c W <br /> Whe'dIM t0 LSWIe i permit. 1 � c n y� _ <br /> further accept all ee to <br /> that may county <br /> a rcwR h rg County of Burnett relying on this information I am providing In this g. '� ° ;�N'F i_N rp <br /> application. t agree t°permitscribed county ofBtlaLS larged with administrating county ordinances or other authorized Perron to have r' <br /> access to Me above-described prem at any masona me/Por a pu of on. e <br /> m 'i7o �. ',�088 � <br /> OWNER'S SIGNATURE`"' t� e 9 a <br /> nHa :.: m y'n0 <br /> < - (date) <br /> ZONING ADMINISTRATOR <br /> 9 n 6 <br /> TOWNSHIP PERMITS MAY BE REQUIRED ` <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATT OF ISSUANCE " C , <br /> by Bruin Wkr.�r' 3-00 ��so008 <br />