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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g 3 <br /> APPLICATION FOR LAND USE PERMITS c <br /> n <br /> OWNER ��`\ Z 11-'N <br /> TELEPHONE <br /> MAILING ADDRESS <br /> PROPERTY ADDRESSQv <br /> \ <br /> LEGAL DESCRIPTION \ <br /> O <br /> TYPE OF PERMTr(S): SINGLE-FAMILY DWELLING 0 ADDITION DECK 0 GARAGE/ACCESSORY STRUCTURE y <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 <br /> COMMERCIAL BUILDING COMMERCIAL ADDITION❑ COMMERCIAL ACCESSORY STRUCTURE ❑ c <br /> 3 <br /> STRUCTURE/ADDITION USE: � tt A b <br /> z A <br /> (Home/Cabin; Commercial B 'ness; Bedroom; Deck; etc.) - <br /> BUILDING CONTRACTOR: <br /> n <br /> C) <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANSC o <br /> WILL BE RETURNED. _ <br /> S <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 W <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, 3 <br /> p ' B <br /> AND INDICATE NORTH(N). a ��.Y R <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(5)TO ALL LOT LINES,(B)BUILDING(S) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK w w <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. p <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. Q <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE o <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. .� <br /> NOTE: NG/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDS y <br /> NEEDED. <br /> THIS PERMIT IS SUBIECi TO ALL CONDITIONS LISTED BELOW: <br /> �. <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. 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 /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> i <br /> 7. - - g0a0nnpna0ro <br /> I dedare that this application(Including any accompanying schedule)has been examined by me and to the best of my ` o " „ S? w' 3 <br /> knowledge and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all W. d =a: y <br /> Information contained In this application(including any accompanying schedule)and I further declare that I recognize that this c E.a D m <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I N o�; <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing In this Q qz „ in N It <br /> application. I agree to peswit county oMcials charged with administrating county ordinances or other authorized person to have g g C' <br /> access co the above-des es at anfTearonable time for the purpose of Inspection. 8 8 n <br /> OWNERS SIGNATURE \\_ \ n e $too 0 8 8 <br /> mn y„ O <br /> (date) o o g e4 6._E 2 <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERMITS MAY BE REQUIRED n o <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE N«H <br />