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ro <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS y '� <br /> H Uv <br /> a <br /> OWNERTELEPHONE . <br /> � Q <br /> MAILING ADDRESS // - .. 3 <br /> 03 '� L�'�K�ni,�Cn �/L� <br /> PROPERTY ADDRESS = Q <br /> LEGAL DESCRIPTION PC—L G O V 3 ( L (7)7 ')_) <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION R DECK E GARAGE/ACCESSORY STRUCTURE ❑ r �" <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ �1 <br /> COMMERCIAL BUILDING COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ S' <br /> m <br /> STRUCTURE/ADDITION USE: t'I'C� 1 'Z <br /> 0 <br /> (Home/Cabin; Commer iaall'Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: l.� e_ C" 'Y1.x- J.-. �E ' � <br /> n <br /> O � <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 rh X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PIANS o <br /> WILL BE RETURNED. <br /> c <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB) AND ALL NEW m w <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). N o <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 w <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. C7 <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD (OF), AND ALL DISTANCES 1 <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. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC., THE a <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. i <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEN iD' <br /> NEEDED. y U) <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> � r <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. b z <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. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. <br /> I declare that this application(including any acmmparrylrg schedule)has been ehmrhlrhed by me and to the best of my a '� � w <br /> knowledge and belief k le true,correct and complete I acknowledge that I am responsible for the detail and accuracy of all c m a' "= a <br /> Info nnatIon contained In this application(Including any aceompanylrg schedule)and I further declare that I recogntte that this <br /> Information I am mvkll will be relled upon b Me County of Bumett WiscaWn In determining whether to Issue a <br /> P nt Po y My ng permit I <br /> further aaept all liability that may be a rewh of the County of Burnett relykhg an this Information I am providing In this <br /> application. I agree to Permit countyoftiqlals charged with administrating county ordinances or other author2ed person to have " .� 8 8 r" <br /> access to the above-described777 , <br /> ble rine for the pact d S . w w A <br /> P purpose of Impaction. <br /> �° ao oo8a <br /> g 8 y <br /> OWNER'S SIGNATOR � � � Em�, <br /> - (da ) a x <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> a0000 <br />