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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning AdministratorP z <br /> APPLICATION FOR LAND USE PERMITS a 3 <br /> o � V <br /> OWNER TELEPHONE 7/5- toy&' <br /> L "17 <br /> a U) <br /> IrJb>o. .JoHI.lSO&I &91 AIzg 4tvw4 o <br /> MAILING ADDRESS""7(95 <br /> YELLOW RIVER 2D, DAL)SUIZV W, SN83L) <br /> PROPERTY ADDRESS 287403 YL-C.LOW (2t6AE72 RDS MAMrBUAY WI S cy8$O o <br /> LEGAL DESCRIPTIONA <br /> Lo? 5, 2nADDN. PAKDVW RIVER PiJES <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING D ADDITION D DECK D GARAGE/ACCESSORY STRUCTURE w <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS D FILLING/GRADING D CAMPING UNIT G <br /> COMMERCIAL BUILDING D COMMERCIAL ADDITION D COMMERCIAL ACCESSORY STRUCTURED ;X__ a <br /> STRUCTURE/ADDITION USE: GARAta£ <br /> (Home/Cabin, Commercial Business; Bedroom; Deck; etc.) ` N 1 Z Q <br /> BUILDING CONTRACTOR: <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 yx X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o_ <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) n a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. c O <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, v <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) o I o <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. <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. a <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. v, <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. S <br /> 3 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. ti �) <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> I� <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. z <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. a , D) <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER *. <br /> SETBACK AREA. <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 'aM 000 no, 0 'V <br /> 3 � af f21 <br /> I dedare that this application(including any accompanying schedule)has been examined by me and to the best of myEl <br /> c ` <br /> knowledge and belief it is t � <br /> 3 ' <br /> rue,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all <br /> Information contained In this application(including any accompanying schedule)and I further declare that I recognize that this <br /> Information I am providing will be relled upon by the County of Burnett Wisconsin in determining whether to issue a permit. I <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing In this <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have <br /> access to the above-described premises at any reasonable time for the purpose of Inspection. m w a o w w n <br /> OWNER'S SIGNATUR <br /> _ nv, aa:mnbv, -n O <br /> (date) � li y 3 E Z <br /> ZONING ADMINISTRATOR J� <br /> C w M <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> +T7 <br /> icic2d k) def F3E II nc1 Bch, �s(� 0 0 o a <br /> 4-a�- oQ <br />