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Z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS n = GQ <br /> N �\ <br /> C <br /> OWNER TELEPHONE <br /> Mkw�la -7-7 �32U <br /> m <br /> MAILING ADDRESS <br /> 265 �• ��� � I�KIv`� S-�_ �ct,� f�� �lo� n-` , <br /> PROPERTY ADDRESS Z.Z14 <br /> LEGAL DESCRIPTION ' <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION DEC fGARAGE/ACCESSORY STRUCTUR (A <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT ❑ <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE O <br /> CY��IIJ f.I�1c� �iQll r� �. <br /> STRUCTURE/ADDITION USE ( `p , &-I,-: ic <br /> (Ho e/ abm; Commercial Business; Bedroom; Deck; etc.) y <br /> BUILDING CONTRACTOR: 0I h S. <br /> ?AC�ZS- �r <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Va X11 SHEET OF PAPER. ANY INCOMPLETE OR fLLEGIBLE PLOT PLANS o y t <br /> WILL BE RETURNED. <br /> A <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) m O <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, V = a <br /> AND INDICATE NORTH (N). Z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) 1 ° <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. 1 p <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD (DF), AND ALL DISTANCES su <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. W � <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 60 <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. 'gf ,Iv U1 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN ;1 ..�' 1 <br /> NEEDED, O <br /> Q <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: r. � <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. Z � D� <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. a <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. b pc <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. a > o 0 o C� Da O b <br /> y- r a 9 a <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my a o,°Z � -, e ? ao <br /> knowledge and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all a m n RL <br /> 2 2 �, y <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this a. D a <br /> Information I am providing will be relied u <br /> P g upon by the County of Burnett Wisconsin In determining whether to Issue a perrnit. I _ 3 > <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing in this c E <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have <br /> access to the above-de bed Pmml at any reasonable time for the purpose of inspection. <br /> 90 -1 <br /> o ,D <br /> OWNER'S SIGNATURE owl —1VZd <br /> (date) a <br /> 1 / �t/� �6 vim. .O F V TJ <br /> ZONING ADMINISTRATOR )(m lanl w.n J� = w' y F c) M <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE a <br /> R0h;` 4lef-der P(Gt,pd <br />