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Burnett County 7410 County Road K, No. 102, Siren, WI 501872 Office of Zoning Administrator y z <br /> APPLICATION FOR LAND USE PERMITS �} <br /> II <br /> OWNER �tl\ 12W� `t- Sksc�h - a 1 be TELEPHONE (p,a' g1a�-57k3 .17L5 <br /> MAILING ADDRESS / nom, CEbj�k Lne MP/5 MA/ SSglo G <br /> PROPERTY ADDRESS 31d 6D A)oble !Pt not R 1 l l _/ � l L,_, / ,( ' 6-` ff J <br /> LEGAL DESCRIPTION � 13 i rn +I.Q ,\�1C70V�eNC�.(I�n�SL.da.Y' (/l/ 'fA ^, <br /> DWELLING/BUILDING 0 GARAGE/ACCESSORY STRUCTURE ADDITION O STAIRS 13 _ <br /> TYPE OF PERMIT(S): � <br /> FILLING/GRADING 0 CAMPING UNIT 0 BUNKHOUSE 0 59.692(1V)GAZESO 0 DECK 0 J <br /> STRUCIURE/ADDITIONUSE: SToRa6C `� <br /> (Home/Cabin;Commercial Business; Bedroom; Deck;etc.) <br /> o <br /> BUILDING CONTRACTOR: <br /> A PLOT PLAN MUST BE PROVIDED ON AN B X X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS w <br /> WILL BE RETURNED. <br /> ��tff <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) 0 E. <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 Tt <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, M <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES, (B)BUILDINGS) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK ,e <br /> (OHWM)OF LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. ti <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 /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. t7 <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR, ETC.,THE w <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. K <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: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. Z 9Oj <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. Vb) <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER I <br /> SETBACK AREA. Q <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. E <br /> 6. <br /> 7. � <br /> a 1:9 <br /> I dedera that this OPPNMUM(IndudMq any accompanylnp adwdluis)ha been warwi ed by me and to tin bat of my Ivq..Mdps 2 w <br /> and bNyf t is hue,correct and compyn. I adverryaea that I am raponsiby for the dated and accuracy of as information e x <br /> comaMad In tins application(NrlWhrp any acoompanyNV sdeduls)and I hwdw declare OW I r"nke that this InWrmatlon 1 i <br /> am provldkV will be redad upon by the County of Burnett Wisconsin In determinNq whedwr to Nese a PermL I further acoapt all '"W <br /> liability that may be a mv*of dA County of Burrett r*hV on We Mknnetlon I am provWNq M 00 application. I rw'8'^ tom" <br /> permit county oft"dsrged with admlruMntinp county ordinances or odw autim parson to haw&does to tin above- S �' f1 <br /> described promises at any reasonable time for tin purpose of inspection. / r„ `M <br /> SIGN HERE <br /> (agnM^wee of ovorw bw h/v cw&a oor) <br /> ZONING ADMINISTRATOR W <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE _ 8 <br /> mow) de�}er is .d vto by Lv�llicrrr, Sah�e� <br />