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9 O <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER ,7y�_� I I � r��l �m ,wTELEPHONE y� p <br /> K41UNG ADDRESS V I I yam/ a, l 1 Q <br /> PROPERTY ADDRESSL�I/l �P�� r`L•�q +� 7. r '�I , I I/ a <br /> LEGAL DESCRIPTION PC I(,'l/GOO U�l_(l. G L �.�{ •I J T'7I l R)W) C� <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING 0 ADD ON ❑ DECK GARAGE/ACCESSORY STRUCTURE 0 <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 HWNQ1GRADING 0 CAMPING UNIT 0 <br /> COMMERCIAL BUILDIINGG 0 CDM1MERCU/L ADDIIT���I,,,,ON)))0 COMMERCIAL ACCESSORY STRUCNRE� <br /> STRUCTURE/ADDITION USE: 7T I I 14 ob I I T� � lel Uri/Y)P (�1'YI��i�C o <br /> Ucabin;Commercial Bus dm m;Deck)etc.) <br /> BUILDING CONTRACTOR: <br /> y <br /> baso �U� <br /> A PLOT PIAN MUST BE PROVD7ED ON AN B Va 11 SHEET OF PAPER. A INCOMPLETE ORI EGIBIE PLOT PLA+IS F c <br /> WILL BE RETURNED. 0 <br /> DIRECTIONS FOR PLOT PUN DRAWING: (ARIAL OR TOP VIEW) in <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. G <br /> 2. SHOW THE LOCATION AND SIZE OF ALL B(ISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW tcoy 9 F <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, `Ol <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 Y <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK w' P <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WEILAND AREAS,AND(D)LOT DIMENSIONS. 1 <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD OF),AND ALL DISTANCES SU G <br /> TO BUILDINGS,ROADS, LAKE,LOT LINES. I <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 <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. l� <br /> tS 1 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: J�) "t- <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 'Z <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. d <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 GARAGEJSTORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. c�000E <br /> 7. nF � g 'v <br /> m <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the beat of my 30,2 0 <br /> knowledge and belief it true,correct and complete. I acknowledge that I am responsible for the detail and accuracy,of all $, tom m @'c, l —1 <br /> information contained in this application(including any accompanying schedule)and l Nrtherdeclare that I recognize Nat this ESDp; ti . <br /> in, <br /> I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a Permit I c 5 <br /> further accept all liability that may be a result of the County of Burnett relying on this information I am providing in this `r �5 : <br /> application. Iagree to Permit county officials charged with administrating county ordinances or other authorized Person to nGi ¢ <br /> have access to the above-described premises at any reasonable time for the Purpose of inspection. FDNiaS (J <br /> $$ > <br /> OWNER'S SIGNATURE <br /> (ate) <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERMITS MAY BE REQUIRED 2 "w <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />