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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administr 1tor c <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNERS ELEPHONE 51- C• - 2'1 e�1) `� <br /> 1� <br /> MAILING ADDRESS 1_ u •^� V <br /> PROPERTY ADDRESS co�rit 9,OI C <br /> LEGAL DESCRIPTION L ( �• �4 n <br /> .7 J NW to iter w+t'�. 2ast,;,nti,.'t 50� X13 <br /> SINGLE FAMILY DWELLING ❑ GA GE/A CESSORY STRUCTURE V ADDITION Re STAI S ❑ ,or, <br /> TYPE OF PERM[T(S): U, <br /> FILLING/GRADING ❑ CAMP_IJ.U,G,I}NIT❑ BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ DECI ❑ <br /> 11 f}A(Ja,(P L I <br /> STRUCTURE/ADDITION USE: OIv� E r�CofQ(� <br /> 'Y <br /> (Home/Cabin; Commercial siness; Bedroom; Deck; etc.) o ' I <br /> BUILDING CONTRACTOR: n W n 1 00 <br /> 4' <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Vi X11 SHEET OF APER. ANY INCOMPLETE OR ILLEGIBLE PLOT I LANS C3 <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SIHOWN OR DRAWN TO SCALE. c � <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW m RO <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). 0+ <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDI G(S) N o <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREM�ENT(S)TO THE ORDINARY HIGH WATER MARK t '? <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLANI AREAS, AND (D) LOT DIMENSIONS. o �' X <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD (DF), AND ALL DIS TANICES 5. o <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. w <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AM SHOW AREAS TO BE GRADED OR FILLED. o C <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITOCT, ENGINEER, BUILDER, CONTRACTOR, ETC., THE <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. A <br /> I <br /> NOTE: BUILDING/ST'RUCTURE LOCATIONS MUST BE STAKEtD 50 AN ONSITE VERIFICATION MY BE DONE W IEN 4-1 <br /> NEEDED. g <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> r <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIRE ENTS WITHIN 60 DAYS OF PERMIT. ' Z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATIONS RESTRICTED ALONG SHORELINE. n 'A <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. In 1 <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER � „1 <br /> SETBACK AREA. Xhl <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW HOR PRIVATE RESIDENTIAL GARAGE/STORAGE WNLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. - F <br /> 6. <br /> � anmRao •v <br /> 7. a9swo 7� <br /> I declare that this application(Including any accompanying schedule) s been examined by me and to the test of my knowl dge w c q <br /> and belief It Is true,correct and complete. I acknowledge that I am ponsible for the detail and accuracy of all Information `° o ? <br /> contained In this application(Including any accompanying schedule)ar(d I further declare that I recognize that this Informatl I :, s, '9a <br /> am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I further acce t all N t2 `j ti '9 <br /> liability that may be a result of the County of Burnett relying on this In rmation 1 am providing In this application. I agree A 01 8 rr. <br /> permit county officials charged with administrating county ordinances r other authorized person to have access to the abovec n <br /> described premises at any reasonable time for the purpose of Inspect) � c) T = a <br /> OWNER'S SIGNATURE <br /> /� <br /> (date) <br /> ZONING ADMINISTRATOR I n'1 Fh,,p 6t = "� <br /> I <br /> 1 2007 =: o <br /> TOWNSHIP PERMITS MAY BE REQUIREDBURNETT COUNTY <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF IssoWNG »w <br /> �'�rm��� � l� �J�✓ maid /� T� , GraeF,)e--s <br />