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Burnett County 7410 County Road K, NO. 102, Siren, WI 54872 Office of Zoning Administrator g b <br /> APPLICATION FOR LAND USE PERMITS y �' <br /> OWNER G�<'0R/� -iR/'k1R CffP TELEPHONEpP <br /> MAILING ADDRESS INO A ! % E u R = <br /> PROPERTY ADDRESSo& /y�10 �t/. G,"/� ,B'✓ C r�r 60 5yRyO ' ro <br /> LEGAL DESCRIPTION I--OT 15 C-W V�71 <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK ❑ GARAGE/ACCESSORY STRUCTURE ■ � <br /> BUNKHOUSE 0 59.692(iV)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 1 <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE 0 S' A <br /> STRUCTURE/ADDITION USE: GE �. o <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) WUI <br /> BUILDING CONTRACTOR: (Ar <br /> n <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Ya X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o <n ; <br /> WILL BE RETURNED. �f <br /> y N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) c <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. o <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW le w <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, a <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B) BUILDINGS) Cn <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. <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. m <br /> S. 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 htc o <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. (LSV DO W <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. W <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. Iz <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. ^ W <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. J o <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN rrABITATION. I SY <br /> 6. WUS-� be. 7�!IO' +-o SICLp IIrk 2!4'D t-o 60-Gk.lD*I <br /> 7. Tvaoogo� > �° � <br /> rn 395 $o'8Y <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my 3.St o e P w G <br /> knowledge and belief R Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all <br /> Information contained In this applkatbn(IncWdIng any aaoompanykg schedule)and I further declare that I reeogn2e that this E.j� a m <br /> Inform Mon I am providing will be relied upon by the County of Bumett WbwtWn In determining whether to Issue a permit. Im m.`r, 'O <br /> further accept all liability dot meg he a result of the County of Burnett relying on this Information I am providing In this14 M `o <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorha d person to have <br /> access to the above-de ribed prep at any masoreb time for the purpose d Inspection. 6 w g t5 ti T n <br /> / ( / A S Dgoocgo y <br /> OWNER'S SIGNATURE -°'�/(dam, 1QQ/6 r� 6 <br /> elm �l <br /> ZONING ADMINISTRATOR <br /> G: <br /> TOWNSHIP PERMITS MAY BE REQUIRED O <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUAN E U 8 0 0 0 8 <br /> +P4-a ��t Ie-W(-Pic�ed i4p bid Ere Day a�ae%e 6 r- D <br />