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b Z <br /> S <br /> Burnett County 7410 County Road K,No. 102, Siren,WI 54872 Office of Zoning Administrator S; ^ <br /> APPLICATION FOR LAND USE PERMITS d <br /> OWNER TELEPHONE a <br /> 0 <br /> s <br /> MAILING ADDRESS <br /> n <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING❑ ADDITION❑ DECK❑ GARAGEIACCESSORY STRUCTURE 0 <br /> BUNKHOUSE❑ 59.692(1V)GA7EBO 0 STAIRS❑ FILLING/GRADING❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDITION❑ COMMERCIAL ACCESSORY STRUCTURE❑ S <br /> z <br /> 0 <br /> STRUCTURE/ADDITION USE: <br /> '.. (Home/Cabin;Commercial Busness;Bedroom;Deck;etc.) <br /> BUILDING CONTRACTOR: <br /> � o <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 1/1X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. f1 n <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) C m <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 3 <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, N R <br /> AND INDICATE NORTH(N). o Z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDINGS)TO ALL LOT LINES,(B)BUILDINGS) o'' P <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK O <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. <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 <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBTECT TO ALL CONDITIONS LISTED BELOW: .. <br /> 0 <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. ^ P' <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 /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. E <br /> 6. p <br /> 0 0 0"n£ trod <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my <br /> knowledge and belief It is true,correct and complete. I admowktlge that I am responsible for the detail and accuracy of all ip application °ws' <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this E. m",; <br /> information I am proMing will be railed upon by the County of Burnett Wisconsin in determining whether to Issue a permit I n 5 <br /> further accept all liability that my be a result of the County of Bureau relying on this information I am providing In this c 6-3 �^„: `-'o r <br /> application. I agree to permit county officials charged with admin' ng county ordinances or other authorized person to ;6v <br /> m A <br /> have access fo the above-described m�at any sonable time for the purpose of inspection. m <br /> OWNER'S SIGNATUREJ� g $$ $ H <br /> r 6 <br /> (date) O fih D`r <br /> ° d _ C L <br /> ZONING ADMINISTRATOR _ g '�. n M <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> ~ HddE <br /> U U$O O O O <br />