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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS r <br /> ) L\ ,, ,, �� f. <br /> OWNER TELEPHONE <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS�(I � i YYSCA <br /> V n <br /> ( ' <br /> LEGAL DESCRIPTION _ = i <br /> cli -i o l h �`j lj 1 eS P <br /> TYPE OF PERMIr(S): SINGLE-FAMILY DW ING ❑ ,gpDI ON ❑ .DECK❑ ARAGE/ACCESSOR STIR URE v: <br /> BUNKHOUSE ❑ 59.692(1L)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ 7 <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> STRUCTURE/ADDITION USE: <br /> c <br /> (Home/Cabin; Commercial Business; Bedroom; ck; etc.) � <br /> BUILDING CONTRACTOR: U.,�r <br /> p 3 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Va X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS c v <br /> WILL BE RETURNED. ,� c <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 y <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB) AND ALL NEW r <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). 7 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) c <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK ,? I <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. <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. y <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. _ <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: W '� <br /> I\ <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. r) 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 <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE U,sED^FOR HUMAN HABITATION. <br /> 6• fYIU ` ice- �b '- m SCC�.P, IaF- IInQ- GLh� L-�b`�fr'Ombac�loi-line. <br /> 7. S >^nnc> 0 "z <br /> it R 2 c F tsl <br /> I declare that this application(including an accompanyingschedule has been examined b me and to the best of m T Z 8 ° T <br /> PP ( 9 Y ) Y Y 3. ; <br /> knowledge and belief It is true,correct eand complete. I acknowledge that I am responsible for the detail and accuracy of all 2 Q� -qinformation contained In this application(Including any accompanying schedule)and I further declare that I recognize that this S > > a ti <br /> Informatlon I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. i > == I > <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 <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have ^ 'o' : 8 t•• <br /> access to the above-described premisp at any reasonable time for[heurpose of Inspection. — s d �,vim,l n <br /> �IFagwa8a <br /> OWNER'S SIGNATUREf` �-.' A > <br /> ZONING ADMINISTRATOR ( �!\ 5j <br /> 3 M1ce n <br /> 8 o i i <br /> TOWNSHIP PERMITS MAY BE REQUIRED a G; <br /> THIS PERMIT SHALL EXPIRE ONE<YEAR FROM DATE OF ISSUANCE H=N <br /> .N o <br />