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C Azo\ <br /> 4 �V <br /> Burnett County 7410 County Road K,No. 102, Siren,WI 54872 Office of Zoning Administrator < - <br /> APPLICATION FOR LAND USE PERMITS <br /> ' ILc, <br /> OWNER I I TELEPHONE JT'O �� <br /> tC 4Lr %t p/ler 7- - 873J <br /> MAILING ADDRESS J <br /> 1225- 19tH Ove vc �57cr AA_ <br /> PROPERTY ADDRESS me5 R<L <br /> LEGAL DESCRIPTION <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING 0 ADDITION 0 DECK,' GARAGE/ACCESSORY STRUCTURE 0 ` <br /> BUNKHOUSE❑ 59.692(1V)GAZEBO❑ STAIRS ❑ FILLING/GRADING 0 CAMPING UNIT❑ <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE❑ C- 5- <br /> STRUCTURE/ADDITION USE: p... <br /> ome m;Commercial tiusmess; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: 7� 1 <br /> o _ <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 rFi X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS r <br /> WILL BE 2ETTIRNEO. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) C I q <br /> 1 ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. nt <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL.NEW 0 n <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, �1 <br /> AND INDICATE NORTH(N). o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDINGS)TO ALL LOT LINES,(B)BUILDINGS) '- 2 <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARKRIVERI <br /> O o <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. 1 <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. " I <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 F <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> � 1 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEN .O <br /> NEEDED. Q) <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: ^OO <br /> ry [ x <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. 2 <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. � �z <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 /> 5. AAryCCCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> jay pG <br /> ��rlaVf v�TO BE USED FOR HUMAN ABITATION <br /> Y�6T/! <br /> 6. ,. // <br /> 7. 'D c a o w a 0 i'0 <br /> n a 3 9 3 <br /> x 333 L _ `� <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my p 0 q 3 _ o <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 I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a <br /> information contained in this application(including any accompanying schedule)and I further declare that I recognize that this <br /> permit. <br /> further accept all liability that may be a result of the County of Burnett relying on this information I am providing in this I s ao va <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to C1 �' o �= r- <br /> have access to the above-described es at an reasonable time for the purpose of Inspection. o y <br /> OWNER'S SIGNATURE ! '+I �° Y <br /> date rt ' c [� <br /> a . <br /> ZONING ADMINISTRATOR - F �7 <br /> M <br /> TOWNSHIP PERMITS MAY BE REQUIRED SEP A 2011 <br /> THIS MIT SHALL EXPIRE ONE YEAR FROM DATE OF ISStft& <br /> ZONING UNSOOO <br />