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Burnett County 7410 County Road K,No. 102, Siren,WI 54872 Office of Zoning Administrator ` "5iyT.p <br /> APPLICATION FOR LAND USE PERMITS O <br /> OWNER 1I I I Wl TELEPHONE ^�y ' 2-�O� C) <br /> MAILING AD.DRESSCit 0 <br /> C103 dna a Som+ti Cka J . I'rl <br /> PROPERTY ADDRESS <br /> 2Vlo Ptnc �.� Izet <br /> LEGAL DESCRIPTION 15s- ��� �Lh� VN O(I Sl7)J,D \U 'Lot 10 gll< 4 / <br /> TYPE OF PERMITS): SINGLE-FAMILY DWELLING❑ ADDITIONRI DECK E, GARAGE/ACCESSORY STRUCTURE❑ _ <br /> BUNKHOUSE❑ S9.692(1V)GAZEBO❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ <br /> C <br /> COPIMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE❑ I' <br /> STRUCTURE/ADDITION USE: <br /> ome in; ommerna uvnew; a room; c ;e I <br /> BUILDING CONTRACTOR: Qe-C� C IS, <br /> z <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'7.X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AREAL OR TOP VIEW) r <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 p <br /> BUILDINGS/STRUCFURES(NS),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, N <br /> AND INDICATE NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK I t <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. AJ <br /> 9. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(BE),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. I S1 <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. b 1 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: r ( ! <br /> 1. DRIVEWAY MUST MEET DRIVEWAYWIDTHREQUIREMENTS WITHIN 60DAYS OFPERMIT <br /> . <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION O RESTRICTED ALONG SHORELINE <br /> 3. NO GRADING ESS INCLUDING RETAINING W ARE ALLOWED UNLESS SPECIFICALLY REQUIRED <br /> A b <br /> 9. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <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. _ x >� <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my = o R n = <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the unfair ate accuracy of all - - <br /> Information contained in this application(including any accompanying schedule)and I further declare that I recognize Nat this rL =- Yo <br /> information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to issue permit. I - c - — <br /> furtheracceptallliabilitythatmaybearesultoftheCountyof 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 n _ : — U ^ <br /> have access to the above•described�p�rem/iy�s stagy reason mef r the purpose a inspection. i > : N w�„ n <br /> OWNER'S SIGNATURE c"""' � ; <br /> TONING ADMINISTRATOR. 55` z�' + <br /> T n <br /> TOW SHIP PERM S MAY BE REQUIRED DEC 18 201Z a <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE O ANCE <br /> BURNETTCOUNTY NNS , «N <br /> ZONING <br />