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9 z <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 51672 ORiae of Zoning g <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER , '/ TELEPHONE 1 <br /> MAILING ADDRESS J L0534fv i..�J1 \/ 5i/ <br /> PROPERTY ADDRESS ` (J`!JT \ O <br /> LEGAL DESCRIPTION c � <br /> TWE OF PERMIT(S): SINGLE-FAMILY DWELLING O ADDITION❑ DECK❑ GARAGE/ACCESSORY STRUCTURE ❑ � m <br /> BUNKHOUSE ❑ 59.692(1V)GAZESO❑ STAIRS 17 FILLING/GRADING ❑ CAMPING UNITS <br /> COMMERCIAL BUILDING D COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ 4 <br /> STRUCTURE/ADDITION USE: c <br /> (Horne/Cabin; Commercial Business; Bedroom; Deck; .) <br /> BUILDING CONTRACTOR: <br /> n <br /> O � <br /> A PLOT AN MUST BE PROVIDED ON AN 6 Vs X11 SHEET OF PAPER. ANY INCOMPLETE OR n r EGI F KW MANS o <br /> M <br /> WILL BE RETURNED. i <br /> ^ <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. c <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEWS c <br /> BUILDINGS/STRUCTURES (NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, -C a <br /> AND INDICATE NORTH (N). o <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 O li <br /> (OHWM)OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. p <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. CJJ <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. <br /> I /n <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MIST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN y i) <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. n Z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. m a <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 <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. anngng �6 <br /> e n o 3 3 3 ^ a <br /> I declare that this appBotlon(adrdrp any a=rnp&nykg sdedde)hes beer exwnked by me and to the bat of my 3 ° m o g n o'' w <br /> knowledge and belief R is true,con and anrp, , I acknowledge UW I am responsible for the deal and amaacy of all <br /> Infannebw oontained In thk application(kKfirdkrg any aommpanykp sdedule)and I Rather dedwe dot I nxogn m that this v `'n <br /> kdor oft I am providing will be reWed upon by de Ootanty,of Burnett Vremokl In daterni irg whethc to Im e a permit- I <br /> further soQpI as 9abift that may be a result of the County of Burned:relying on this Information I am proakig kt tlis <br /> appkuanon. I agree to perm[aunty oMdals dwgW with adrdrletrati g county ordkwm es or ottrer authorized person to have <br /> scars to the above-dmaffied premis at any remonable for�Rte PurpoOa/a�Ofkopeafan- m a a iA 1 <br /> U,;, f' <br /> OWNERS SIGNATURE � J 711g—Il-5 a e <br /> >'a y g gn O <br /> ns^ ^: c m <br /> 0 <br /> ZONING ADMINISTRATOR J(/n l" la.n I Cnh - ) F." o <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE u u 8 o 8 <br /> �'e✓rr ma i7 ec l 0 4�1 k��7�t� 1 u a l le 'l-3D-09 <br />