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Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator - <br /> APPLI/CATION FOR LAND USE PERMITS - - <br /> OWNER ^I/ l �Y...,U�' 1� TELEPHONE <br /> MAILING ADDRESS1A10,WPr 1A <br /> �9'/ p <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION 1., '� 2- 1 /+l 5; / 11 , Pffl 7 <br /> TYPE OF PERMIT(5): SINGLE-FAMILY DWELLING❑, ADDITION[3DECK 0 GARAGE/ACCESSORY STRUCTURE'S A— <br /> BUNKHOUSE 0 59.692(1V)GAZEi30)¢ STAIRS 0 FIWNG/GRADING ❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDINLG0 COyMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE 0 <br /> STRUCTURE/ADDITION USE: HeL>•4'����"�Q'N' 1 Orc"�— D'Y� ✓�— I _i <br /> (Home/Cabin;Commercial Business; Bedroom; Deck; etc.) L <br /> BUILDING CONTRACTOR: IN C k-YN-e (`/LOA 'e <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Vz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> M n <br /> WILL BE RETURNED. :5_ <br /> DIRECTIONS FOR PLOT PUN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. -_R2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW IIIIL—� <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, Q <br /> AND INDICATE NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) _ f_ <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. y <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD OF),AND ALL DISTANCES <br /> TO BUILDINGS,ROADS,LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. I_ <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR,ETC.,THE 1 i� <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. r� <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> r <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. _ a <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 1K/lyI <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 /> 6. <br /> ]. _ p > nnr, r <br /> IdeCarethat Misapplication(including anyacwm,unying schedule)hasbeen examined bymeandtotbebertofmy - F ,'�_ ,'_} U E I <br /> knowledge and belief it is true,correct and complete. I acknowledge that I a.responsible lar the derail and accuracy of all <br /> information contained in this application(including any accompanying schedule)and I further declare that I recognize that this = > > vi'c,, <br /> information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether M issue a permit. I <br /> Further accept all liability tM1a[ma be a result of Me County of Burnett relying on this information lam providing in this <br /> application. I agree to perm; ou o1 cials chametl '[h admi istra[in9 county ordinances or abler authorized perwnM _ F5 <br /> have access M Me above-dasvib p 'iseza n{ri onahis meforthepurposeafinspection. <br /> OWNER'S SIGNATURE —��OBD/ 3 n ' '—_^—_ F ^ S <br /> (nate) vI <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERnr <br /> MITS MAY BE REQUIRED J <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE - - <br />