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C / n fog Z <br /> Burnett County 7410 County Road K,No. 102, Siren,WI 54872 Office of Zoning Administrator Z' <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER TELEPHONE 1c,0$ -aI O <br /> MAILING ADDRESS S 4/S L{ VJ . 'M \f-S IRO <br /> ut��� , w; <br /> PROPERTY ADDRESS L` I /) 1'. /�t� f�� C <br /> LEGAL DESCRIPTION �G CS O I — c <br /> TYPE OF PERMIT(S): SINGLE-FAMILY WELLING j$' ADDrrioh 0 LbECK ❑ GARAGE/ACCESSORY STRUCTURE❑ � <br /> BUNKHOUSE❑ 59.692(1V)GAZEBO❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ <br /> b <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE❑ S <br /> Z <br /> STRUCTURE/ADDITION USE: ,pir� fXJ o <br /> ome a In;commercial 13usiness; room; Deck;etc.) <br /> BUILDING CONTRACTOR: f] <br /> O 3 <br /> Q o <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. � r� <br /> W a <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) C O <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. o0 <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(ES)AND ALL NEW n <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). cj o z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) (�� ji <br /> c <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. -R3 <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(OF),AND ALL DISTANCES o <br /> TO BUILDINGS,ROADS,LAKE,LOT LINES. <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. — a <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE 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 Jj <br /> O <br /> NEEDED. (n) — <br /> THIS PERMIT IS SU53ECT TO ALL CONDITIONS LISTED BELOW: � <br /> a J <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. _1 n Z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. l7 C <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. Ul <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER Cj <br /> SETBACK AREA. (� <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <J <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. gyanao �e <br /> T ti o B g 0 <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my ^n U .' w' <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all �p i' d v c y <br /> Information contained in this application(including any accompanying schedule)and I further declare that I recognize that this ° '��- D m N ! a <br /> information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue permit. I o, ? c w <br /> further accept all liability that may be a result d the County of Burnett relying on this Information I am providing in this �, .`�ss N ^roC <br /> application. I agree to re It coon officials charged with admini sting county ordinances or other authorized person to C, ^' SQL^ <br /> have access to the above-descri esat any j so le ti (or the purpose of Inspection. m D g N W A <br /> OWNER'S SIGNATURE — m E <br /> (date) <br /> ) nfA Y'Z ca C70 <br /> a : <br /> 20NING ADMINISTRATOR <br /> TOWNSHIP PERMITS MAY BE REQUIRED ��a <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE o ' <br /> Q : <br /> (A� pN�69M0 <br />