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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g <br /> 0 <br /> /p� APPLICATION FOR LAND USE PERMITS h Z <br /> OWNER /1 d' //J,t C c, o C <br /> T I VTI .l'S�C� TELEPHONE <br /> (9 J O <br /> MAILING ADDRESS 13Sv6 71tr(�.Lti S.f_ M. .W1 4boUEr M <br /> PROPERTY ADDRESS l <br /> LEGAL DESCRIPTION1(�,xr&j LAvr <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK ❑ GARAGE/ACCESSORY STRUCTURE ❑ 5 1 <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO❑ STAIRS ❑ FILLING/GRADING❑ CAMPING UNIT <br /> 0 <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> STRUCTURE/ADDITION USE: dOI a <br /> I( J o <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) � <br /> BUILDING CONTRACTOR: <br /> O � � <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o <br /> WILL BE RETURNED. ny <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW fro=m 'O R <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, O R <br /> AND INDICATE NORTH (N). Z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) O c O <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK R-) 5' <br /> (OHWM)OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND(D) LOT DIMENSIONS. oI U <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. y h <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. H <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. d Q) H I <br /> THIS PERMIT IS SUBIECr TO ALL CONDITIONS LISTED BELOW: ` r <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <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 V <br /> SETBACK AREA. p <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 00 6 <br /> I dedare that this application(Including any accompanying schedule)has been examined by me and to the bat of my o,'� B <br /> knowledge and belief It Is true,correct and complete. 1 admowledge that I am responsible for the detail and accuracy of all o. ZI E: qQ <br /> Information contained In this application(Including any accompanying schedule)and I further declare that 1 recognize that this <br /> Information I am providing will be railed upon by the County of Burnett Wisconsln 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 thist2N b <br /> application. I agree to permitc-=-- <br /> officials charged with administrating county ordinances er other authorized person to have <br /> access to the above-desalted p Lsa at any rea bla time for rpose of Inspection m i"A U N w f] <br /> 3A oDS � �� g <br /> OWNER'S SIGNATU n c o mE � ca m p <br /> DI 20NING ADMINISTRATOR EC E �J E 5 <br /> m• � � � �c 2. t=1 <br /> TOWNSHIP PERMITS MAY BE REQUIRED MAY 2 5 2012 <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE ORILANCE61 <br /> N <br /> Iu80008 <br /> BURNETT COUNTY <br /> ZONING <br />