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c o p <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER /fix `,C/7 ® TELEPHONE/-f—/ s�1��'l ' a <br /> C�� �1✓h N/ L�isr/�N (O <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION c <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK ❑ GARAGE/ACCESSORY STRUCTURE ❑ <br /> BUNKHOUSE,V 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT ❑ <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> STRUCTURE/ADDITION USE: Z <br /> 0 <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) — <br /> BUILDING CONTRACTOR: <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yx X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o <br /> WILL BE RETURNED. " <br /> A <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) O <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. � & n <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW t 1 <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). N 2 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) ° <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK 0'3 <br /> (OHWM)OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND(D) LOT DIMENSIONS. A <br /> "' <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST) AND DRAINFIELD (DF), AND ALL DISTANCES A1"'TO I <br /> TO BUILDINGS,ROADS, LAKE, LOT LINES. O. S m i <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PIANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE L o <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. 70 1 <br /> O <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN 1 y 9) <br /> NEEDED. �/ I <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: �r r <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. O n Z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. Y <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 yIl}1r� <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NQnT TO.BE S(SED FQ)LhHUMIu! HABITA7T-I�ON / <br /> 6. /Y�//J71LLV C//'�'`y.?/ir/ �11J•if`p`i, I �j C' H'rc-cal/ 1 <br /> 7. be cam/ � .ten <br /> n � 033 �° En �p <br /> Tex m $?w3 <br /> I declare that this application(Including any accompanying schedule)has been ekamined by me and to the gest of my <br /> knowledge and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all m t°e e e. -q <br /> Information contained In this application(In ding any accompanying schedule)and I further declare that I recognize that this <br /> Information I am providing will be railed u try Me Counly of Burnett Wisconsin In determining whether to Issue a permit I 6 w o.w v b <br /> further accept all liability that maybe a it o the Cou of Burnett relying on this Information I am providing In this Fr 4!8 HN: H N ro <br /> application. I agree to permit cou Is charged administrating county ordinances or other authorized person to have F ..0 8: 99 r <br /> access to Me above-described p any reasons time for the purpose of Inspection. OW Z <br /> Ed ,n ^ � 8gg88y <br /> OWNER'S SIGNATURE cl d, I <br /> owg� � <br /> ZONING ADMINISTRATOR - <br /> 2.; S <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUAN SEP 5 20 2 N H«»= <br /> 0000a <br /> BURNETT CO NTY <br /> ZONING <br />