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i <br /> s <br /> Burnett County 7410 County Road K, No. 102, Siren,Wl 54811 Uffice Of Zoning Admlyds[rator <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER �/ TELEFHONL <br /> // <br /> ' <br /> MAILING ADDRESS c <br /> , / `7 J F <br /> PROPERTY ADDRESS 7 LAIC'_- k,Q� <br /> n <br /> LEGAL DESCRIPI"ION r/ S,u //n'�/ Situ_ .� �� r <br /> TYPE OF PERMITS): SINGLE�MILY OWLLLING i] 'AD ION LJ DECK OGARAG/ACIr�JSTRUUCIUll �a <br /> BUNKHOUSE❑ 59.692(IV)GAZEBO LI STAIRS❑ FILLING/GRADINGO CAMPING UNIT❑ <br /> COMMERCIAL BJILDING � COMMIACIAL ADDITION I I COMMERCIAL ACCESSORY.S""fRUCTUkE❑ o G <br /> STRUCTURE/AUDI ZION USE: SCr•C@ti �CJt>;Gl.. ��(+� (54,M <br /> (Home/Cabin�CCommmercial Business; Bedroom;Deck;etc.) j <br /> BUILDING CONI RACTOR: I fC'E_ Cc ft$kr'V d-(BI <br /> r <br /> o i <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 7i X11 SHEET OF PAPER, ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. <br /> r <br /> d <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) m <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SfOWN OR DRAWN TO SCALE, <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW R I` <br /> BUILDINGS/STRUCTJRES(1,18),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, 9 <br /> AND INDICATE NORTH(N). ry o <br /> 3. SHOW DIMENSIONS IN ITET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES, (B)BUT DINGS) <br /> TO CENTERLINE OF ROAD, (C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHW M)Or LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. O <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES - <br /> TC BUILDINGS, ROADS, LAKE,LOT LINLS. <br /> S. 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. I^ <br /> THIS PERMIT 15 SUBJECT TO ALL CONDITIONS LISTED BELOW; n <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. Z <br /> 2. REMOVAL OR CURING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. H <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 <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. 9 <br /> 7. -. py' �'n <br /> 1 declare mat this application(including any accompanying schedule)has been examined by me and to the best Only g e,Z n 2 A <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all <br /> information contained in this application(including any accompanying schedule)and I further declare that I remgnisa that nils a - " E! <br /> information I am provld:ng will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I "'R f=b Hs <br /> further accept all liability that may be a result of the County of Burnett relying an this information I am providing In this <br /> appb'--aeon. I agree to permit county off clals charged with administrating county eMlna ices or other authorized person to have iv 2.7 2;16. R o z <br /> access to the above-descrioed premises at an reasonable time for the purpose of inspection, am 5 u v`ppZ a r) <br /> OWNER'S SIGNATOR 21 O <br /> s. cs�m <br /> ZONING ADMINISTRATOR m <br /> T WNSHIP ARMITS MAY BE REQUIRED - <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE o u <br /> i <br /> 1. <br />