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C A p <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> / <br /> / 7— //� c��..,)* <br /> OWNER <br /> ER�off► TELEPHONE 6s 'T/- a` 6 <br /> ftDhsAs <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION �n e 13 <br /> A- , ` <br /> Ax,, ,r4/v Yl Fn l6 / v L� <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING/ El ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE>< Q) d <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO El STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT ❑ •/� <br /> v <br /> COMMERCIAL BUILDING ❑ CppOM��ME��++RC��LAL ADDITION [71 COMMERCIAL ACCESSORY STRUCTURE Elo <br /> STRUCTURE ADDITION USE: ��44(€iii <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> p,�r <br /> BUILDING CONTRACTOR: ri'>� <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS A �_ <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) m a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m <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, CJ p <br /> AND INDICATE NORTH (N). N o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) <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. O w <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. rv, <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. t�-C , <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC., THE .. o Xl <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. }.N <br /> I I <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. I /_ <br /> lT� <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. w A <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. I �I <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> > o inn > oa <br /> p A R <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 1 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 `- > > w N Y <br /> Information I am providing will be relied upon by the County of Burnett 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 have <br /> access to the above-described raises at any reasonabl time for the purpose of Inspection. <br /> > � s � y <br /> OWNER'S SIGNATOR n > = m o ^ *, O <br /> D ( c = 3 <br /> ZONING ADMINISTRITOWNSH" <br /> 0 o p tr1 <br /> PERMITS MAY RE REQUIRED MAY 11 201Z <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF I NCE =o <br /> BURNETTCOUNTY <br /> ZONING <br />