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Burnett County 7410 County Road K,No. 102, Siren,WI 54872 OMw of Zoning Administrator e n z <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER ��,�-TT /'/ -za�� TELEPHONE 3a7 - s� £�� m <br /> ��— ( �—. <br /> MAILING ADDRESS //630 L i—Wee—, <br /> PROPERTY ADDRESS N " <br /> � <br /> LEGAL DESCRIPTION � .i T37N� <br /> TYPE S)• SINGLE FAMILY DWELLING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION IRS <br /> FILLING/GRADING ❑ CAMPING UNIT❑ BUNKHOUSE 0 59.692(1V)GAZEBO❑ /DECK❑ <br /> STRUCTURE/ADDITION USE:/'OY2()G/ /ViV& / —D" / S�RbOIh� <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: y�dnC/l <br /> �r <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8%X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. < <br /> o_ 6 <br /> DIRECTIONS FOR PLOT PIAN DRAWING: (ARIAL OR TOP VIEW) g <br /> "1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. a <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, td 'ti <br /> AND INDICATE NORTH (N). <br /> —3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) c <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK I ,a <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. w J <br /> —5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. S? Q1 Q <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 /> �3 t <br /> NOTE: BUILDING/STRUCfURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: .�j <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. o 1 <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. n 1 <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 E 2 <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. E <br /> 6. <br /> � 7rlarxm �a � � <br /> 7. <br /> I declare du*Oft appYutlon(kWuOMq any atmnpenykg schedule)has been examined by me and to the bet of my Immviedge m C y <br /> and beRr1 R In true,oartad and wmplebe. I adaawledpe Uret I am responsible for the deW and armacy of aB kdbrmadon <br /> contained In Oft appNmtlon(kWuc*v any a000mpsnWnO aft")and I Wrt er dedwe diet I rewgnbe that dit k9iwmetion I m P . <br /> � a <br /> am provdkg will be idled upon by the County of 8urrelt Wlsa wkdn In deawmW&g vd*U er to ban a pemic I twoer ettep[all <br /> Debility Bet may be a rmd of the OxAAy of Burnett relykg on this Imormatbn I am prwAdhtp In this appRombon. I agree to w �n�^g '^. t. <br /> permR qty oakids dwged wRh adml R wuray ardmerrcas or odw authorted permn to have aooeas to the above- a5 n <br /> described premises at any ressnnakl a f0 a purpose knpedlon. . y <br /> OWNERS SIGNATURE <br /> .o <br /> ZONING ADMINISTRATOR (.4 I � 5 <br /> TOWNSHIP PERMITS MAY BE REQUI THIS PERMITSHALLEXPIRE ONE YEAR FROM D OF I 9 _ 2007 <br /> 11 g <br /> of-fijt+ 4- to -f4?(- 1GL-k4D &o4 t1C4rNETTCOUNTY <br /> ZONING <br />