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V Z <br /> 3 <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER 1 I. P are? , Mani aP y� TELEPHONE <br /> MAILING ADDRESS I �/� 7� J��/ PPni'��•�� <br /> dj 1- <br /> PROPERTY ADDRESS `k • �J�,1 c <br /> 131t�5 Irk �li��t rw )f'Pn� ll) �.. II <br /> LEGAL DE CRI 0 f <br /> i� IV, <br /> Li ��:1T,f,Nsllr� } <br /> TYpE or pearnn(5j: SINGLE- Y�WE NG AUDITION ❑ DECK❑ GARAGE/AC SSORY STRUCTURE SUR O <br /> BUNKHOUSE ❑ 59.692TV)GAZEB0 STAIRS❑ FILLING/GRADING CAMPING UNIT (V/(/\ � <br /> 11ITEl <br /> COMMERCIAL BUILDING ❑ COMMERCIA4 ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE❑ <br /> / (� • ,, t <br /> STRUCTURE/ADDITION USE:-,amP �/��(J/ <br /> �(Home z l ; C��ommer��cial Business; Bedroom; Deck; etc.) V� <br /> BUILDING CONTRACTOR: VH��d 't' Foul— .1 ilk-• <br /> AP LOT PLAN MUST BE PROVIDED ON AN e'/z X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS r <br /> WILL BE RETURNED. <br /> m <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (A TOP VIEW) <br /> i. ALL REQUIRED DIMENSIONS OR DISTANCESCES TOO BE SHOWN OR <br /> S/ DRAWN RE SCALE r' <br /> 2. SHOW THE LOCATION AND B),SIZEI OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW C� <br /> BUILDINGSATE NORTH(N)NBJ, INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). r o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) <br /> TO CENTERLINE ROAD, (C)BUILDING MEASUREMENTS) THE ORDINARY HIGH WATERMARK <br /> (OHWM)OF LAKE,,STREAM OR RIVER AND WETLAND AREAS,,A THEAND(D) LOT DIMENSIONS. �' Q <br /> 4, SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES a <br /> TO BUILDINGS, ROADS,LAKE, LOT LINES. <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 1 <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR,ETC.,THE I (ay <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. XJ <br /> NOTE: BUILDING/STRURURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. n5 V <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: (� i <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. �- r <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. Q ^ <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES,INCLUDING RETAINVIG 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. F <br /> 6. <br /> 7. VaA afKc_ _�)oo� .� > nnnci o'er <br /> 1declare that this application(including any accompanying schedule)has been examined by me and to the best of my 3 e ,Z 0 3 <br /> knowledge and belief it is true,correct and complete. Iacknowledge that I am responsible for the detail and accuracy of all adv; y <br /> information contained in this application(including any accompanying schedule)and Ifurther declare that I recognize that this _ = _ <br /> information I am providing will be colied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I _ - <br /> further accept all liability that may be a result of the County of Burnett relying on this information I am providing in this <br /> application. Iagree to permit county officials charged with administrating County ordinances or other authorized person W _ = vc28 <br /> have access to the above-tlescribed pre ices at any reasonable time for the purpose of inspe <br /> OWNER'S SIGNATURE on <br /> (date) <br /> ZONING ADMINISTRATOR_ 3 _ - _ <br /> AUG 2 2013' ' <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUAN&bRNETT COUN <br /> ZONING <br />