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z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g � <br /> APPLICATION FOR LAND USE PERMITS y <br /> o � <br /> OWNER % � / ��Gl�/Q /. TELEPHONE/S Sys d <br /> MAILING ADDRESS <br /> l(�/!4 / f ( il6koW %7�/� �� _ <br /> PROPERTY ADDRESS ;Ila [•f b <br /> AoAt 14 <br /> LEGAL DESCRIPTION I <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING 0 ADDITION 0 GARAGE/ACCESSORY STRUCTURE 0 c <br /> BUNKHOUSE Cl 59.692(1V)GAZEBO C <br /> STAIRS,B' FILLING/GRADING ❑ CAMPING UNIT❑ q ch <br /> COMMERCIAL BUILDING ❑� COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE 13S W <br /> `�I. <br /> STRUCTURE/ADDITION USE: �k 6a�D "/, 9a�� vl z t� <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc. �,i <br /> BUILDING CONTRACTOR: Q n -Z <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Vz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C o <br /> WILL BE RETURNED. <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 O <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, a <br /> AND INDICATE NORTH (N). N Z <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 <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. q �, <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC., THE Ul <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. I l v <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. fi <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: y I <br /> c s ` <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. Z G <br /> n <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. O H 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. G <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. s '� r9io 0 onyF "a <br /> rg <br /> Xn N333 � 9: � <br /> m 7.' <br /> I declare that this application (Including any accompanying schedule) has been examined by me and to the best of my B e _ <br /> knowledge and belief R is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all . to m =m y <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this <br /> Information I am providing will be relled upon by the County of Burnett Wisconsin In determining whether to Issue a permit. 1 m o. a E:— : Y <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing In this c 'ya H' N 'rod <br /> application. i agree to permit coundals Uargewith administrating county ordinances or other authorized person to <br /> have access to the above-describ emeses ata asonable time for the purpose of inspection. c E <br /> H�w �oa <br /> OWNER'S SIGNATURE S $$o $O 0 <br /> date 21 0 <br /> a - Z <br /> ZONING ADMINISTRATOR ✓� c ?. a'� .n <br /> 8201( c) M <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCEBURNM Cot <br /> H <br /> 1 �a,q /p-/I /D ZONING y p <br /> VJi U 00000 <br />