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z <br /> v 3 0 <br /> a <br /> Burnett County 7410 County Road K,No. 102, Siren,WI 54572 Office of Zoning Administrator 5 <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER L� mL _f LEPHONE <br /> O <br /> MAILING ADDRESSo i f <br /> `y 70U <en-{- St S �c�reu/ erti /Yin- 55/� <br /> L <br /> PROPERTY ADDRESS �( _C� C f N ° <br /> �a <br /> LEGAL DESCRIPTION eSm U8 <br /> Ii.J I <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDI)TO DECK❑ GARAGE/ACCESSORY STRUCTURE ❑ .o <br /> BUNKHOUSE❑ 59.692(1V)GAZEBO❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ c 3_ e <br /> Z <br /> COMMERCIAL BUILDING El COMMERCIAL <br /> II�nIAD(D;ITIION ❑ COMMERCIAL ACCESSORY STRUCTURE❑ ° <br /> STRUCTURE/ADDITION USE: i(J(.�e.f. (/` Y'tc��c�u✓�. y. a 4 ' �- <br /> c ome in;Commercial business; bedroom; c ;etc.) <br /> BUILDING CONTRACTOR: U e < <br /> O ° 7 <br /> 'c <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 rh X11 SHEET OF PAPER. ANY INCOMPLnETE OR ILLEGIBLE PLOT PLrAIIy�1 <br /> WILL BE RETURNED. (ScE <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW-) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TjjOSCALE. �J <br /> nt n <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW o ° <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). O o C <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 Q 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 y p o <br /> TO BUILDINGS,ROADS,LAKE,LOT LINES. 773 <br /> E r <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. o <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE W -C <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. r. C1J O <br /> ° to <br /> THIS PERMIT IS SUB]ECT TO ALL CONDITIONS LISTED BELOW: r (fI <br /> z O <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. z VY <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. o t; <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. U <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. b' <br /> S. ACCESSORY STRUCRIRE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. o <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. /l l� py 9r) nr) na Ob <br /> � El <br /> 7. 3 3 <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best ofmy <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all '' 'a <br /> information contained in this application(including any accompanying schedule)and I further declare that I recognize that this „°, S d,N ,fid <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 6 y o C] <br /> application. I agree to perm" unty officials charged with administrating county ordinances or other authorized person to have m w„ , W�wo <br /> access to the above-desarl emises at any able time for the purpose of inspection. v 8 � y <br /> /a �� m a q eon N Z7 <br /> OWNER'S SIGNATURE r� $ : . 3 <br /> (date) No: 1a <br /> ZONING ADMINIST R `" : '"a C ii <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE U C o <br /> oo = o <br />