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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator 3 <br /> APPLICATION FOR LAND USE PERMITS - <br /> OWNER L .6 6A,L., rs�� TELEPHONE <br /> �`` LI1 63- 70-3.313 <br /> MAILING ADDRESS �3S6,6 T'��H9h <br /> / L/-WfiT/V GI I V <br /> PROPERTY ADDRESS a9tJ/ <br /> L! UA)I-Aty� � S� <br /> I f� ., <br /> LEGAL DESCRIPTIONfk- I <br /> Ltl f ro = �, <br /> TYPE OF PERMTf(S): SINGLE-FAMILY DWELLING ❑ ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE 0 'y <br /> BUNKHOUSE 0 59.692(IV)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT) <br /> m <br /> a <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL ACCE SORY STRUCTURE 0 <br /> STRUCTURE/ADDITION USE: — <br /> (Home/Cabin; Cc ercial usiness; Bedroom; Deck; etc.) `? <br /> BUILDING CONTRACTOR: <br /> N <br /> T 1 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS G c <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) n <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 r <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, I '` <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (8) BUILDING(5) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK m' 1 <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. C7 <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD (DF), AND ALL DISTANCES a \71'I <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <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 /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN i 1 <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: l <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. I(� <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. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER I <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. £ <br /> 7. > o 0 o u> •'I � <br /> n 3 3 9 <br /> I dedare that this appllcation(Including any accompanying schedule)has been examined by me and to the best of my 2 8 ' " ' T _' <br /> knowledge and belief It Is true,correct and complete. 1 acknowledge that I am responsible for the detail and accuracy of all n c ?'s n v. T <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this y E > m :` ? q <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I `'^ c S; 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 f to in <br /> application. 1 agree to permit county officials charged with administrating county ordinances or other authorized person to have q, "n' o r <br /> access to the above-described prem JRes_at any nable time for the purpose of Inspection. 5 a „ 8 $ <br /> `I//p\ C/I a <br /> OWNER'S SIGNATURE 3 o o. c o <br /> �/�� 6 -I6 �oy A <br /> > _ o <br /> T (date) hF 3 ¢ sr Z <br /> ZONING ADMINISTRATOR .� e n to <br /> m <br /> TOWNSHIP PERMITS MAY BE REQUIRED a <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE N <br /> s ' <br /> s800�o <br />