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Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator P o <br /> APPLICATION FOR LAND USE PERMITS Zzz- <br /> OWNER NzZ:�/ µJ/� t��, fAj TELEPHONE <br /> MAILING ADDRESS /lG(�� /1. , /L/� [G C,�'t(/ vj/ <br /> PROPERTY ADDRESSQN <br /> LEGAL DESCRIPTION •r / "��( y_ <br /> GARAGE/ACCESSORY Sh RUC Unc 0 ADDIT10N <br /> STAIRS <br /> TYPE OF PERMIT(S): O <br /> FILLING/GRADING0 CAMPING UNIT❑ BUNKHOUSE ❑ 59.692(1V)GAZEBO CI DECK❑ <br /> tJ/LON'['C I0Orrh f,6'e7t /,Sfit[i1 to -fie- /-k Z <br /> STRUCTURE/ADDITION USE: e ° <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: "'"Alt' <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yx X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C <br /> WILL BE RETURNED. c <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) 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 <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B) BUILDING(S) 3 <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 TRE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. 00 O <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. o <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE �. N CIO, <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. ,.I i <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 CONDITIONT'LISTED BELOW: h <br /> r z O <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. Pfi' 7d <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. 8 <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER d <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGEISTORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. g � <br /> n ryy <br /> 7. ;rGr,a B dS° as 5 2' <br /> o e w C <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my knowledge , 2 W" <br /> � y <br /> and belief It Is true,correct and complete. I admowledge that I am responsible for the detail and accuracy of all Information a cS P y <br /> contained In this application(Including any accompanying schedule)and I further declare that I recognize that this Information I 8 ;,, » b <br /> am providing will be relied upon by the County of ou"Att Wisconsin in determining whether to Issue a permit I further accept all Ir N 8 u N 8 <br /> liability that may be a result of the County of Burnett relying on this Information I am providing In this application. I agree to ,.., <br /> permit county officials charged with administrating county ordinances or other authorized Person Person to have access to the above- toU w m„�A <br /> desvlDed pramKes at any reasonable tl a for tihe purpose f Insp " o m ��-) <br /> � a p <br /> OWNER'S SIGNATURE (date) <br /> ZONING ADMINISTRATOR G 5: :' <br /> TOWNSHIP PERMITS MAY BE REQUIRED "« H <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCEv 8 <br /> 8 <br /> Ib-i1-0'1 <br />