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Burnett County 7410 County Road K, No. 102, Siren, WI 54B72 Office of Zoning Administrator z <br /> APPLICATION FOR LAND USE PERMITS a y. <br /> OWNER CJIjk U kSlf� TELEPHONE .7'�_� S(o-3433 <br /> w <br /> -r ro <br /> MAILING ADDRESS -7 -7 a7 M0.1� c1 i {� a� burU �-L 54g3o <br /> PROPERTY ADDRESS <br /> Sa e <br /> LEGAL DESCRIPTION Subdivision Nw Y4Sect-lO� a-8 - E • a Crams �, <br /> of Lot 39 FXc f—fit w. 7SSecflo af3 Tv/lRllo. `- <br /> DWELLING/BUILDING 0 GARAGE/ACCESSORY STRUCTURE ADDITIO STAIRS 0 „or, <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING 0 CAMPING UNIT 0 BUNKHOUSE 0 59.692(1V)GAZEBO 0 DECK 0 <br /> STRUCTURE/ADDITION USE: 6711rle /OXo'l4' r`�l r[Q dd"/.JW 'XyLj( ^q <br /> c (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: 5 Q I f/�nJ1 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. p � <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) 2. <br /> - c <br /> � 6 <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 y n^ <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) r7 <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK o <br /> (OHWM) OF LAKE, STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD (DF),AND ALL DISTANCES 2 <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. A <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. b CXi E W <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE �J <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 CIl <br /> NEEDED. <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. ' Z 0 <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. n VI <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. N' I <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER V <br /> SETBACK AREA. Cf <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. C <br /> NOT TO BE USED FFOR HUMAN HABITATION. G � :E <br /> 6. # (9� hd_ <br /> 7. 3 n m rlc�,1, <br /> E2. 21.� <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my knowledge C m <br /> and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all Information <br /> contained in this application(Including any accompanying schedule)and I further declare that I recognize that this Information I Y <br /> ' 2 <br /> am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. [further accept all ='"' �^�' > <br /> liability that may be a result of the County of Burnett relying on this Information I am providing in this application. I agree to n o `w^ p [ro+ <br /> permit county officials charged with administrating county ordinances or other authorized person to have access to the above- S d <br /> described premises at any reasonable time for the purpose of inspection. D <br /> SIGN HERE <br /> (si atur of o e ding contractor) (gate) m e o^ > a <br /> em ii ° <br /> ZONING ADMINIS TOR <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE cls! o o <br /> P � <br /> H&rnut -4- Le&-er p C&A up S l�j�stra to-µ-off <br />