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� ro <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g <br /> APPLICATION FOR LAND USE PERMITS <br /> O <br /> OWNER „ _ I F/I'G TELEPHONE n� A <br /> MAILING/IADI/DtRiE1SSAA7 d G V <br /> � A7� Go� UUSf �( 'JthraI�AJASUC' �u,1t� 864x4 ; <br /> PROPERTY ADDRESSl <br /> 2 8131 OVer lAA)d -6;LAO lAJ Jer t,,T SofBR3 0 <br /> LEGAL DESCRIPTION <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DW NG X ADDITION ❑ DECK ❑ GARAGE/ACCESSORY STRUCTURE ❑ .. <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ 7 r' <br /> STRUCTURE/ADDITION USE: qpme J c <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: e P. I)L(�r1Q✓' �✓�f"Y-u_c.1 orJ C n <br /> O � <br /> A PLOT PLAN MUST BE PROVIDED ON AN B Vi X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C o <br /> WILL BE RETURNED. <br /> +n <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. 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, p OQ 3 5 <br /> AND INDICATE NORTH (N). c <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES, (B) BUILDINGS) O� <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM) OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D) LOT DIMENSIONS. WV 11 <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES U 5 W <br /> TO BUILDINGS,ROADS, LAKE, LOT LINES. S �, <br /> 5. 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 JJ o <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. U. <br /> it <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. W }� Q <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. ,1 G C, Cy�l <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. fd�1 R '� <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. C (� <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. S7 <br /> 2• 7gl r) r) oC) n 'b <br /> 51 <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the Lest of my 9 o c w° r <br /> knowledge and belief R Is true,correct and can ` - <br /> len ing a I acknowledge that I am rand I further <br /> for the detail and cognize h all A <br /> Information captained in this application(including any accompanying schedule)and I further dehdarc that I recognize that this E. 9 Y m y <br /> Information I am providing will be relied upon by the County of Bumett Wisconsin In determining whether to Issue a penult 1 4b <br /> further accept all liability that may be a result of the County of Burnett relying on this Irdormotim I am providing in this '^a^ra <br /> application. I agree to permit county officials charged with administratlng county ordinances or other authorized person to have '° M,°z <br /> ao ss to the above-described premises at any reasonable time for the purpose of inspection. z; iii m S,�w,N n <br /> OWNER'S SIGNATURE /�6/r� � Asy , ogoo�s, on0 <br /> ZONING ADMINISTRAnR (+ t\ <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> �erm��d- de-I-P'1 �ledfn Moiiilqn <br />