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y ° z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI W72 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS g ° <br /> OWNER TELEPHONE <br /> Se.0.nne M Q ( 7)s �s� �F133 a <br /> MAILING ADDRESS ,544f30 <br /> -7 99 3 0ou._„-�v <br /> PROPERTY ADDRESS —7 <br /> LEGAL DESCRIPTION o <br /> 53a 7_40,1 � rd ,f s41,T 5E AJE ix 393/ae,4-t-9 ems.-01 <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK GARAGE/ACCESSORY TRUCTURE ❑ <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT ❑ <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ o `� <br /> STRUCTURE/ADDITION USE: 5' ( G c-k (j'-4f) rS ori w e-`ti 5t A=o+ o T <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) �o, Y\ <br /> BUILDING CONTRACTOR: PO-L,( O�l S t✓ h J <br /> n <br /> � � J <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8%X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o w <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) 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, <br /> AND INDICATE NORTH (N). 1 N ' o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) O <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK XNJ <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. I p <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD (DF), AND ALL DISTANCES 3 C� <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. g. w <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. n , <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN y <br /> NEEDED. "� 1 <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: I. r <br /> n <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n z O <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. B <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. OG' <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER �. <br /> SETBACK AREA. o <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. T � � 000na�Oe <br /> I declare that this application(including an accompanyingschedule has been examined b me and to the best of m <br /> DP ( g Y ) Y Y <br /> knowledge and beget it Is corcorrecttrue,coeand complete. I acknowledge that 1 am responsible for the detail and accuracy of all �. y e. d N• °, <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this a c.D a <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 ii 0 y t!H` !N b <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have 8 0 <br /> access to Me above-described premises at any reasonable time for the purpose of inspection. a o s8 w N oY <br /> 3 y o g o g o y <br /> OWNER'S SIGNATURE S o y, b o <br /> ZONING ADMINISTRATOR / FICcf <br /> I_. 2010 <br /> TOWNSHIP PERMITS MAY BE REQU <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE " €OUNTY ^=N H <br /> i�PXrna � le l-krmatU -fV J&jjtyeayer ZONNG <br /> t i <br /> c � <br />