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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 <br /> OWNER TELEPHONE <br /> SaarPr� e�e✓r�or�i s <br /> MAILING ADDRESS �5I I3(—j /y L, nnowe L/_ L)r. We bsT wj S`YU IS CA <br /> �f / lam' IK -!Y' (. <br /> VV � <br /> PROPERTY ADDRESS a7$Da -Th ov»Psoo Kd W <br /> °< C) <br /> LEGAL DESCRIPTION <br /> 0 o co <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK ❑ GARAGE/ACCESSORY STRUCTURE ❑ ;n <br /> BUNKHOUSE59.692(1V)GAZEBO ElSTAIRS 11FILLING/GRADING ❑ CAMPING UNIT ❑ <br /> COMMERCIAL BUILDING [IvCOMMERCIAL ADD7ITTIION ❑ COMMERCIAL ACCESSORY STRUCTURE Ela � b <br /> STRUCTURE/ADDITION USE: �LJ — <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) ° <br /> BUILDING CONTRACTOR: _J) <br /> n <br /> O <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS p o 1 <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> a-C <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. r <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, U� .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) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK O <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. p <br /> 4. SHOW THE LOCATION OF THE WELL (W), SEPTIC TANK (ST) AND DRAINFIELD (DF),AND ALL DISTANCES r� <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. E! \j 00 <br /> 5. 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 W o <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. Q, <br /> 1 �^ <br /> vJ <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN ,� <br /> NEEDED. n <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: O <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 O <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. p <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER �I <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. Doo o ODao "O <br /> 1 declare that this application(including any accompanying schedule)has been examined by me and to the best of my <br /> knowledge and belief it Is true,correct and complete. 1 acknowledge that I am responsible for the detail and accuracy of all a m w r rm .:I <br /> Information contained In this application(including any accompanying schedule)and I further declare that I recognize that this 5. a a w N a <br /> information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to Issue a permit. 1 ii S= <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing in this Q '� „ i J `— 22 N b <br /> application. 1 agree to permit county officials charged with administrating county ordinances or other authorized person to have f° n j o o 8 e r <br /> access to the above-described premises at any reasonable time for the purpose of Inspection. <br /> _211 <br /> j <br />