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C � O <br /> a <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator 5 <br /> APPLICATION FOR LAND USE PERMITS 5 <br /> / a <br /> OWNER OW //; ori / TELEPHONE <br /> o <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS /Jo <br /> T � �� � ti n` S <br /> LEGAL DESCRIPTION <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING lX ADDITION DECK r GARAGE/ACCESSORY STRUCTURE r 2 <br /> BUNKHOUSE • 59.692(iV)GAZEBO r STAIRS r FILLING/GRADING r CAMPING UNIT r <br /> COMMERCIAL BUILDING r COMMERCIAL ADDITION r COMMERCIAL ACCESSORY STRUCTURE r ^ <br /> II ' II z <br /> STRUCTURE/ADDITION USE: H I�-/hD C I-fO ° <br /> (Home/Cabin; Commercial Business; Bedr om; De ; tc.) <br /> BUILDING CONTRACTOR: J- G n <br /> A c <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 1h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. n a <br /> F7 p <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m w Jv n <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, �y c z <br /> AND INDICATE NORTH (N). ❑ ° <br /> 61 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S) TO ALL LOT LINES, (B) BUILDING(S) 1 <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S) TO THE ORDINARY HIGH WATER MARKQr) <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. <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. <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 i <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. I <br /> H <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN I <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> L) z <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. <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 0 <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. T 0 0 0 o n cEl <br /> p b <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my 3 0 ,:I `,^; o ? w 3 <br /> knowledge and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all E. <br /> ^ Cp m m m y <br /> Information contained in this application (including any accompanying schedule)and 1 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 b <br /> further accept all liability that may be a result of the County of Burnett relying on this information I am providing in this 5 : ;,, ,d" ,�, 'V <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to <br /> have access to MPERMSHALL <br /> y noble time the Durpose of Inspection. ° B v, w A <br /> c0 d'ow„ o o <br /> OWNER'S SIG <br /> ZONING ADMto� c ?. <br /> MUU 14 0 LU 12o i= w ° S) M <br /> n c : m y rl1 <br /> P PERMI MAY BE REQUIRED a <br /> IRE ONE YEAR FROM DATE OF ISSINETT COUNTY g <br /> ZONING <br /> n 00000 <br />