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r _Z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator 4 a <br /> APPLICATION FOR LAND USE PERMITS 6 sn <br /> //4^ <br /> OWNER ,/J�/� <br /> TELEPHONE q/S'- 6^�✓'b� <br /> �Jf' CC33 c <br /> MAILING ADDRESS P1 <br /> PROPERTY ADDRESS;� / F,eS.L„ y,� 1�oh�,.� col. <br /> LEGAL DESCRIPTION 7'r,! J�jf l)'7 �`� �d-Ccr-fi-1 OQ I S�LO�'e S = j — S C <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION D DECK ❑ GARAGE/ACCESSORY STRUCTURE ❑ v: j <br /> S � <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS 17 FILLING/GRADING ❑ CAMPING UNIT 0 <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE ❑ A p^ <br /> STRUCTURE/ADDITION USE: P LA <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) u p <br /> BUILDING CONTRACTOR: <br /> C 3��pl <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Y:X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS •n <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARAL OR TOP VIEW) rl p <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 u Iv <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, ? <br /> AND INDICATE NORTH (N). 7 <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 MEASUREMENTmS)TO THE ORDINARY HIGH WATER MARK S <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 AI i <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> S. 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 ? <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> i I <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN 'O <br /> NEEDED. <br /> THIS PERMIT IS SUBJECTTO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n z p <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> ALLOWED4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., <br /> SETBACK AREA. <br /> 5, ACCESSORYUSEDR UFOHAB <br /> EUMAN HPE MIT ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE <br /> 6. <br /> 7. � ,y; a3 gnnn to <br /> � 2b 'n n n <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my 9 o a R_y,a,,� <br /> knowledge and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all d m y —` i` : i .j <br /> information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this 5.> G ' y <br /> Information I am providing will be relied 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 = "t; <br /> application. I agree to permit county officials char dSltlminl ng county ordinances or other authorized person to have s�— <br /> access to the above-described premises at reasonable time a purpose of Inspection. <br /> 3 q y S o <br /> OWNER'S SIGNATURE date n _�3 " R. <br /> ZONING ADMINISTRATOR J i m ��all �� `l c .a m <br /> 8 � m <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE 8 0? S <br />