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9 z <br /> � � o <br /> a <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator 4. <br /> APPLICATION FOR LAND USE PERMITS a <br /> a <br /> OWNER, ' / `� TELEPHONE 1_ <br /> ' o <br /> MAILING ADDRESa,O/ 77/ <br /> 2 <br /> PROPERTY ADDRESS o91 <br /> r ` <br /> LEGAL DESCRIPTION L O r 1 C.1;' �6I r 6. .? 'N G o✓ Ln74 c <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING' ADDITION 0 DECK❑ GARAGE/ACCESSORY STRUCTURE 0 <br /> BUNKHOUSE 0 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING 0 CAMPING UNIT 0 <br /> v <br /> COMMERCIAL BUILDING Cl COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE 0 S <br /> ' _ z <br /> STRUCTURE/ADDITION USE: l/ <br /> (Home/Cabin;Commercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: 01-/,4GI Ato 14LN <br /> rni, <br /> O <br /> o H <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'/z X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS � <br /> WILL BE RETURNED. n a <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 C7 o <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). � GOJ <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B) BUILDING(S) 1 0 <br /> = O <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. SLr <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. Op <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 U) <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. 1 <br /> I <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> O <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: V1 � <br /> a <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. N z <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. <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. O <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6• qo k6ien of--"c 56rvci�M may �t t�ss 8+wr 75 Fee(- ry . £+p, oh(wm rF Wdvher 49A, <br /> dS Ofi@.Wlslly( 6Y 4110emllf6 lonwl. F/619r Se6- e� <br /> 7. `C'/ > � 0000na0 ��*y <br /> R fD R 3 3 3 g a £ S <br /> ' '2, o rn omo Z' <br /> I declarethat this application(including any accompanying schedule)has been examined by me and to the best of my � o ' „ <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all E3 iu iu P .� <br /> information contained in this application(including any accompanying schedule)and I further declare that I recognize that this E. D m N <br /> information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I m a $a= <br /> ao <br /> further accept all liability that may be a result of the County of Burnett relying on this information I am providing in this <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to <br /> have access to the above-descri remises at reasonable time for the purpose of inspecti <br /> OWNER'S SIGNATURE 3 A 0 0 0 0 0 ^ <br /> m a <br /> (da n sn 9'� m (] <br /> = 3Ra. z <br /> ZONING ADMINISTRATOR 21 0 <br /> �O b, JUN 1 UU a <br /> = ;.; o o' !' o e (�y <br /> c as <br /> TOW SHIP PER TS MAYBE REQUIRED BURNETT COUNTY a <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUAPMNING <br /> tJii tNii p O O O O <br />