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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator z <br /> APPLICATION FOR LAND USE PERMITS a <br /> OWNER TELEPHONE a <br /> DOIICZ45N N. B en/ics Q 6�is9, <br /> _7 V. z4� 2 <br /> MyyILPOY U Z ING�ADDRESS � O <br /> ( £-!! #16N &,&WB/ ,/ ,VSV,,aEy f)-I5-S-3 37 � <br /> PROW 7 D T 3 eA.) R/S IN E C(e rpm—) RC1 e <br /> LEGAL DESCRIPTION�/� <br /> V-2 � GriV_Lor <br /> SINGLE FAMILY DWELLING 11 GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ STAIRS ❑ o <br /> TYPE OF PERMIT(S): 1� W f <br /> FILLING/GRADING�0 CAMPING UNIT ❑ BUNKHOUSEIK 59.692(1V)GAZEBO ❑ DECK El t> <br /> .� <br /> STRUCTURE/ADDITION USE: 6#ZSIA.) Z <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) o ° <br /> BUILDING CONTRACTOR: IIJL.E-K k_-" F.t� (�iUS� Oiti <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 ya X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. <br /> O ° <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. O <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, ra w <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) o <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK e <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. N v; <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD (DF), AND ALL DISTANCES a <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. w' <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 a ° <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 9") <br /> NEEDED. <br /> J� Q c Q <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: �l <br /> r Z (1 <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. n W <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 !"Ill <br /> SETBACK AREA. C <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. d <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. ^ .� Da7. <br /> 07 <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my knowledge 9. <br /> and belief it Is true,correct and complete. 1 acknowledge that I am responsible for the detail and accuracy of all Information '° e <br /> contained In this application(Including any accompanying schedule)and I further declare that I recognize that this Information I N w J ti 7 <br /> am providing will be rel by Ne County of Burnett Wisconsin In determining whether to Issue a permit. I further accept all <br /> liability that may hof County of Burnett relying on this Information I am providing In this application. I agree to <br /> permit county o Is cha coli admin)SOWAQ county ordinances or other authorized person to have access to the above- <br /> described pre ses at any sona le time r Ne on. <br /> 6 3 <br /> OWNER'S NATO I��-1(JT o . <br /> ZONING ADMINIST I ^� <br /> TOWNSHIP PERMITS MAY BE REQUIRED p N N <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE C� N <br />