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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a <br /> APPLICATION FOR LAND USE PERMITS <br /> /�/ //� s' <br /> Z-4 n <br /> OWNER TELEPHONE <br /> MAILING ADDRESS �0/2 5 <br /> 0�_ <br /> PROPERTY ADDRESS <br /> Q5 <br /> -0 9S <br /> LEGAL DESCRIPTION i9al & oV Lo/- Ll <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK O GARAGE/ACCESSORY STRUCTURE L7 <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE O c <br /> STRUCTURE/ADDITION USE: 90 M It— <br /> (Home/Cabin; Commercial <br /> t—(Home/Cabin; Commercial Business; Bedroom; Deck; etc.) ' n <br /> BUILDING CONTRACTOR; H 1( P✓ c s(e a.F I O (� <br /> n L <br /> ° <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 ya X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C o <br /> WILL BE RETURNED. - <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) n '' <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C O( <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW �t 'O =f%�(�P 3 <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDINGS)TO ALL LOT LINES, (B) BUILDING(S) o OW�o <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK Q. <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 - <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. - m <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 �Aj fW <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. I0 � W <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHENUj <br /> _qU <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <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. a ` <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 I\ <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. F <br /> 6. .5'ub-C4%f-f0 R- F. E Its a/" 'f•Ie..I�, e`K 1Sti ,2c'x�'eFbn h,6t. CcrvriJr i <br /> slcrdfgt6Midr /bwYhpcseby ad .7tb:,�/ d74slfvtri,i� crmus+/scirn cam.! <br /> 7. With"!'.� DI1.t yrA./cfCo/nplt}iDno ne60 11Qf. T7d R v o a ro <br /> n 3 n B 6 <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my g 0� ^ ;, � $?w'= <br /> knowledge and belief it Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all <br /> Inforrnatlon contained in this application(including any accompanying schedule)and I further declare that I recognize that this _.a a to u; <br /> information I am providing will be rolled upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I ?" $w'� Y <br /> further accept all liability that may be a result of the County of Burnett relying on this information I am providing In this <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have ^ g g t. <br /> access to the above-described premises at any reasonable time for the purpose of Inspection. o A <br /> OWNER'S SIGNATURE /i'"L./1l�lAa (i /a -7 <br /> iy� l(ZV7 � "lu (date) <br /> ZONING ADMINISTRATOR /7 c 9 w' o^ <br /> t_ja•y ' vim <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM D TE OF ISSUANCE G N <br />