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Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator �� Z <br /> APPLICATION FOR LAND USE PERMITS a <br /> N <br /> OWNMLA n ' TELEPHONE o' <br /> MAILING ADDRESS <br /> AkCwo POCLj 5 q 0o <br /> o I <br /> PROPERTY ADDRESS W <br /> O _ <br /> LEGAL DESCRIPTION <br /> a CL NIA2 aF_ } -,U) 4 Lei 0 <br /> DWELLING/BUILDING ElGARAGE/ACCESSORY STRUCTURE❑ ADDITION STAIRS❑ <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING ❑ CAMPING UNIT❑ BUNKHOUSE❑ 59.692(1V)GAZEBO ❑ DECK❑ <br /> i� I 5TRUCTURE/ADDTRON USE: XaO <br /> z <br />� (Home/Cabin; Commerdal Business; Bedr ; Deck;etc.) c <br /> BUILDING CONTRACTOR: <br /> S w <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Vx X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. � <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) c <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 ❑ C7 g <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, g 5. <br /> AND INDICATE NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES, (B)BUILDING(S) n <br /> TO CENTERLINE OF ROAD, (C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK O ° <br /> (OHWM)OF LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),-AND ALL DISTANCES i.. '� o <br /> TO BUILDINGS, ROADS,LAKE,LOT LINES. <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. c FU <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR, ETC.,THE E Fo O <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. �, 1 <br /> o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN UJ <br /> NEEDED. ,� s <br /> 8 1 <br /> THIS PERMIT IS SUB7ECi TO ALL CONDITIONS LISTED BELOW: a <br /> d , <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. 9 a> <br /> n B <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. � I <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 <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 /> �7a0 'O <br /> 7. A F <br /> 6w' O°. ow' 3 <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my knowledge 2 <br /> and belief it Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all information p <br /> 2 <br /> contained in this application(including any accompanying schedule)and I further declare that I recognize that this information I > <br /> am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit I further accept all <br /> liability that may be a result of the County of Burnett relying on this information I am providing in this application. I agree to permit <br /> county officials charged with administrating county ordinances or other authorized person to have access to the above-described o^ E� f1 <br /> premises at any reasonabl ti a for the pu se of i on. �o <br /> SIGN HERE <br /> o 0 <br /> (signature o owner of building contractor) o m �„ <br /> ZONING ADMINISTRATOR CJI MAR31 2006 II--� <br /> c -7—A/ <br /> TOWNSHIP PERMITS MAY BE REQUIRED BURNETT COUNTY j' <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANZONING v w <br /> d1�e�rYu S N N <br /> �-� �'�uell�s zf-3-off <br />