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Burnett County 7410 County Road K, No. 102, Siren, WI 54672 Office of Zoning Administrator Iri z <br /> APPLICATION FOR LAND USE PERMITS € <br /> OWNER 1, TELEPHONE <br /> a S <br /> n <br /> MAILING ADDRESSL-l 1 0 <br /> ilT <br /> PROPERTY ADDRESS a /t,,,J <br /> `G 1 C <br /> LEGAL DESCRIPTION — !) <br /> Y,r I <br /> SINGLE FAMILY DWELLING O GARAGE/ACCESSORY STRUCTURE D ADDITION ❑ STAIRS O o �n <br /> TYPE OF PERMIT(S): 9 <br /> FILLING/GRADING ❑ CAMPING UNIT D BUNKHOUSE 0 59.692(IV)GAZEBO C1 DECK O <br /> t 3. <br /> STRUCTURE/ADDITION USE: N La.Ir k3I2 Z <br /> (Home/Cabin; Comm rcial BusineFs; Bedroom; Deck; etc.) e <br /> BUILDING CONTRACTOR: k ( (\ <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS .t rr) <br /> WILL BE RETURNED. O <br /> F � <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) C <br /> 6 <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. trt O <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW ^ n <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, M. z <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUI DING(S) 1 n <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MA K 3 <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 0 c <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. m' I� <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. Z7GO <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ET-., THE — <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. _ <br /> ti ^, <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. W <br /> 90 <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: ` 1 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. L' = 0 <br /> V <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. n X <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. I_ <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATE <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAG ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. E <br /> 6. <br /> — �e > > o� <br /> 7. n aysS R�n'—E^ F <br /> Sw' Oe � � w � <br /> I declare Mat Mia application(including any accompanying schedule)has been examined DY me and to the best of my kn ]edge Z i R <br /> and belief It Is true,correct and complete. I acknowledge that I am responsible for Me detail and accuracy of all information <br /> contained in this application(including any accompanying schedule)and I further declare that I recognize Nat this information I ' ! a <br /> am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I 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 <br /> permit county officials charged with administrating county ordinances or other authorized person m have access to the above- <br /> described <br /> b ve-described premises at any naso le time for the purpo /Inspection. <br /> e� Z F 31 <br /> OWNER'S SIGNATURE / J �� o w g $w 2 <br /> (date) § N E Q e > .n <br /> Z u ��wM <br /> ZONING ADMINISTRATOR <br /> It <br /> TOWNSHIP PERMITS MAY BE REQUIRED »' <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE € w N <br />