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° Z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a <br /> APPLICATION FOR LAND USE PERMITS <br /> N <br /> ° <br /> OWNER &,Vid Q �Dn TELEPHONE <br /> �J <br /> =° O <br /> MAILING ADDRESS <br /> l `S <br /> all') W pov)e�al Cry r NewZ&pIl� �olFsr �p?1 <br /> PROPERTY ADDRESS (` I'()SGh,DV Ur G1 <br /> / o — <br /> LEGAL DESCRIPTION <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK ❑ GARAGE/ACCESSORY STRUCTURE ❑ <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRSX FILLING/GRADING ❑ CAMPING UNIT ❑ Cy <br /> J 1 <br /> A <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> STRUCTURE/ADDITION USE: <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> O <br /> BUILDING CONTRACTOR: n r <br /> C � J <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C o <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <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 m m <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, o' <br /> AND INDICATE NORTH (N). N Z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDINGS) ° <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK O <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. p g <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. rn <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. AJ <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE o P <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <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: r- C O o O <br /> UI <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. 2 (p C> <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 /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER C) <br /> SETBACK AREA. I <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. :E Cr <br /> 6. <br /> 7. ^ 7.+ > nnnnaoro <br /> n " y 33 = y7 <br /> 1 declare that this application(including any accompanying schedule)has been examined by me and to the test of my 3 0 ,'^, U F w' <br /> knowledge and belief it Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all <br /> Inforrnatlon contained In this application(Including any accompanying schedule)and I further declare that I recognize that this <br /> Information I am proAdin9 will be rell by the County of Burnett Wisconsin In determining whether to Issue a permit. I .� ,°°, $ ? ,q <br /> further accept all(lability that may b re It of the Co ett relying on this Information 1 am providing in this c 0_ <br /> application. I agree to permit coun offlc Is Chang with admin rating un ordinances or other authorized person to ave .°zoo <br /> access to the above-described pr ises any re nable time t inspe on. °� w R v,,A <br /> a <br /> q � ^ y00000y <br /> OWNER'S SIGNATURE <br /> (dat o > ^ d 2 <br /> ZONING ADMINISTRATOR bF �°°, �' ° n fn <br /> A C_- xa � <br /> C <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> HIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> rrti(+ fDICtceGk L,4p 10 Floal,- ) Cvr,5�KL.e C hZ n ��-� � . . 0000 . <br /> 0 <br />