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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a o' z <br /> APPLICATION FOR LAND USE PERMITS a <br /> OWNER J�^ „F MAry P019PE, r��Pfp TELEPHONE, .- 33, •394q <br /> MAILING ADDRESS ///(_) Al <br /> / 1 C pGl�iJC( J� �Sboll 390�f ° <br /> PROPERTY ADDRESS <br /> \ a � <br /> LEGAL DESCRIPTIONJ�0 I <br /> OC J J 7! °< <br /> - � J <br /> SINGLE FAMILY DWELLING❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION STAIRS ❑ ,00 � ,,h <br /> TYPE OF PERMrr(S): <br /> FILLING/GRADING ❑ CAMPING UNIInT0 BUNKHOUSE ❑ 59.692(1V)GAZEBO 0-v"01+4- CSl <br /> STRUCTURE/ADDITION USE: �" r e P n IV O rL Z c� <br /> (Home/Cabin;; Commercial Business; Bedroom; Deck; etc.) Io <br /> BUILDING CONTRACTOR: it a(e CIU Oxy /1✓t. °S L� v\ �j- �(A [I ` Q <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Vz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. O 3 <br /> < J <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) o� /�� <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. M " I C -� <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, <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) rI <br /> TO CENTERLINE OF ROAD, (C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK �'I Oo s <br /> (OHWM) OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. N <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' <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. O W o O <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 f' <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: 9 <br /> r <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. - a d I <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. n .l <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. _ <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. O <br /> NOT TO BE USED FOR HUMAN HABITATION. E (✓ <br /> 6. <br /> 7. <br /> w <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my knowledge �, <br /> and belief It is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all Information o »: ' <br /> contained in this application(Including any accompanying schedule)and I further declare that I recognize that this Information I $ - >e <br /> am providing will be relled upon by the County of Burnett Wisconsin In determining whether to Issue a permit, I further accept all <br /> liability that may be a result of the County of Burnett relying on this Information I am providing In this application. I agree to <br /> permit county officials charged with administrating county ordinances or other authorized person to have access to the above- 8 f] <br /> described promises at any reasonable time for the purpose of Inspection. <br /> OWNER'S SIGNATURE / 2Q0"�' / J p1• +V I i G�\�y /a u,w •:x1 <br /> �_/"}� I (date) y : o s w l�1 <br /> ZONING ADMINISTRATOR \ I"n"n(�L E: R <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> ,PnrmT� 4 lo+4-et- rhai`Lecl - o 6ato-Wa,)Ees L,-9-u'91 <br />