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Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator - - <br /> �enni�APPLICATION FOR LAND USE PERMITS = <br /> OWNER ` I ` r TELEPHONE 42 `!/c/ <br /> MAILING ADDRESS �33 7 <br /> PROPERTY ADDRESS CT a 36 �j� <br /> LEGAL DESCRIPTION , � - 2 3 � 2/(J jv /C / 1 W o <br /> TYPE OF PERMIT(S); SINGLE-FAMILY DWELLINU❑ ADDITION ❑ DECK❑ GARAGFJACCESSORY STRUCTURE 21- <br /> BUNKHOUSE❑ 59.692(1V)GAZEBO❑ STAIRS IT FILLING/GRADING ❑ CAMPING UNIT❑ _ <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE❑ IR -_ <br /> / Z <br /> STRUCTURE/ADDITION USE: CIL YYr1- -Q <br /> ome m; merna uslness; room; Deck;e c - <br /> BUILDING CONTRACTOR: _ 6 L v 1 <br /> z < _ <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Vz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS _ u <br /> WILL BE RETURNED. --,. <br /> DIRECTIONS FOR PLOT PIAN DRAWING: (ARIAL OR TOP VIEW) .. <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <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, J W <br /> AND INDICATE NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDINGS)TO ALL LOT LINES,(B) MARK G(S) <br /> (O CENTERLINE , ROAD, OR BUILDING WETLAND ARES),A THE ORDINARY HIGH WATER MARK <br /> (OHWM)OF LAKE,STREAM OR WELL <br /> (AND SEPTIC <br /> TD AREAS,AND(D)LOT DIMENSIONS. RJ <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPITC 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 uJ <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. W �1 -11 _ <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN II nn ( Sk�1 <br /> vl �/ <br /> NEEDED. r) r <br /> P <br /> THIS PERMIT[5 SUBIER TO ALL CONDITIONS LISTED BELOW: O (` <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. z %> <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. S z z <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. p <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. py_A <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION, <br /> 6. <br /> T. ., z > > c � <br /> n R -< a <br /> 3z <br /> I declarethatand be application it istion(inclueda any accompanyinglet.. Icknoledschedule)has been responsible <br /> espn examined 6Y r the detail tand ac ura y p,j <br /> knormatio aontainefiinthisapplicaRantl complete. y acknowledge Matlam)and <br /> furtherthearethat <br /> IrePouraze of all - - - <br /> information cam providing <br /> in this be <br /> upon <br /> by the County of Burned <br /> Wisconsin ntl IYurt ming he M r to issue a e thatpermit. <br /> this <br /> information I am Provitling will abereliedupon of the County Burnett Wisconsin in information <br /> nfo determining whether vi issue a Permit. I <br /> further accept all liability Nat mayhea vialsesult charged <br /> withafBurned stratn count[ordinances of er Providing inrsm - — <br /> haveapplication. othagree toe-c!7fcounty offciakchary rl sonale timeforthe Purpose ofinceso of er authorized person to <br /> have access[o the above-0Gs/cr��'bftl re satany reasonable time for the purpose of inspect n <br /> OWNER'S SIGNATURE l 1 5 'n -` y <br /> ZONING ADMINISTRATOR - <br /> _ � r <br /> TOWNSHIP PERMITS MAY BE REQUIRED = I. <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE D <br /> Cs - <br />