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c o <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g 3 <br /> APPLICATION FOR LAND USE PERMITS y y <br /> ❑N <br /> OWNER CQIU it16Gk 11OF/r/� SCrIWCLYZ TELEPHONE J-/-z6y <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS 1 C�O <br /> LEGAL DESCRIPTION ^�LIt 4 `0 <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING O/ ADDITIONIOL7 DECK ❑ GARAGE/ACCESSORY STRUCTURE ❑ ,n <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 , <br /> ro <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE 0 ` (� <br /> STRUCTURE/ADDITION USE: 4n a r I{1(30� c N <br /> (Home/Cabin; Comphercial Business; Bedroom; Deck; etc.) beasondlUSC, 1 <br /> BUILDING CONTRACTOR: 2 n <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8%X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C <br /> WILL BE RETURNED. .gym <br /> `n a <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) c a <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 rym o <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, c <br /> AND INDICATE NORTH (N). V c 0 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDINGS) <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. C7 <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD(DF),AND ALL DISTANCES o y <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. '('J�u-� <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. c <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE Clio <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 -9 j y \ <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: r "' <br /> U <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. I n z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. g yy <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. �7 <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER O <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. O <br /> 6. N T TO BE USED F R HUMAN HABITATION. '' l �_ n <br /> yel7 �!m / W h 3 CEiu (AGI <br /> m mm <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best or my B 0 ,2 _. =_ <br /> knowledge and belief H Is true,correct and complete. I adawwledge that I am responsible for the detail and accuracy of all ❑y m E. P_ o': H <br /> Information contained In this application(Induding any accompanying schedule)and I further declare that I recognize that this .n � c E 2 y <br /> Information I am provMmg will be railed upon by the County of Burnett Wisconsin In determining whether to Issue a permit Ie y ?w v y <br /> further accept all liability that may be a rewh of the County of Burnett relying on this Information I am providing In this <br /> application. I agree to permit county officials charged with admmisb atlng county ordinances or other agnM <br /> access to the above-described premisesat any reasonable for the Pu inspection. W ggOWNER'S SIGNATURE012 <br /> tg# N <br /> ZONING ADMINISTRATOR BURNETT COU ❑ s` <br /> TOWNSHIP PERMITS MAY BE REQUIRED ZONING <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE N o 8 <br /> unoo 00 <br />