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o Z <br /> ° <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator y' <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER(" yJ TELEPHONES.) <br /> MAILING ADDRES <� f. 9 O S 1 . OL <br /> 7 <br /> PROPERT�ADDR�EO <br /> r <br /> SS <br /> o_ <br /> LEGAL DESCRIPTION 2 T /f N2 /.5 S of <br /> `I r <br /> T <br /> WpE of PERMI7(S): SINGLE-FAMILY DWELLING ❑ ADDITION L7 DECK❑ GARAGE/ACCESSORY STRUCTURE❑ iv <br /> BUNKHOUSE❑ 59.692(1V)GAZEBO 0 STAIRS❑ FILLING/GRADING ❑ CAMPING UNIT <br /> COMMERCIAL BUILDING ❑In(COCOMMERCIAL ADDITION 11 COMERCIAL ACC SSORY STRUCTURED <br /> TU <br /> STRUCRE/ADDITION USE: ` 111 Bina A1,T i7 �n ala .J� <br /> (Home/Cabin;Cbmmeptial Business; Bedroom; Deck; etc.) <br /> n <br /> BUILDING CONTRACTOR: <br /> ;a < <br /> 0 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'/z X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS 0 a <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) c <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. �n w <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW 3 <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). _ o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES, (B)BUILDING(S) A) <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. <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. Ih <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. UI <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR,LTC.,THE 5Z i <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: <br /> z <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. H p <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. L <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. QjI <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER � <br /> SETBACK AREA. Q <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> o 0 0 r L c U PC <br /> 7. 3 3 3 ^ = TJ <br /> zoEl RV c <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all <br /> information contained in this application(including any accompanying schedule)and I further declare that I recognize that this c m <br /> information I am providing will be relied upon by the County of Bumett 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 <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to o > ? w w C'1 <br /> have access to the above-tlescribe premises at any reasonable tim for the purpose of inspection. p w N o wo <br /> rAPR <br /> (�OWNER'S SIGNATURE (rr�7(date) . <br /> ZONING ADMINISTRATOR <br /> 19 2012 <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUAtWINETT COU d ' <br /> ZONING0 <br /> 110 000 <br />