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Byrnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator m o 0 <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> N O h <br /> N <br /> C <br /> OWNER n <br /> TELEPHONE n /� / <br /> HOMEADDRESS� 3S — / '' J/ 1�t�{J Y — Ja�Fjl �l� i `D N <br /> 7 ( O <br /> � o G <br /> EMERGENCY/FIRE NUMBER ROAD NAME <br /> // , Q I r <br /> LEGAL DESCRIPTION(see tax receipt) IUWSE 0) <br /> C� m <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ PRIVY ❑ v m M <br /> TYPE OF PERMIT(S): c <br /> Cr <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISIONSa <br /> {� 5. <br /> STRUCTURE/ADDITION USE: I/�/ Jr a C/ <br /> (Home/Cabin; Commercial Business; Bedroom; Deck;etc.) w <br /> BUILDING CONTRACTOR: <br /> T <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 17 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. m <br /> O <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O <br /> -n n <br /> n Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m r <br /> NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m 3 <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF (,/� <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. I o <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO <br /> BUILDINGS,ROADS,LAKE,LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. N <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER,BUILDER,CONTRACTOR, ETC.,THE PLANS C ' <br /> MUST BE SIGNED AND DATED BY THE OWNER. o 'V <br /> o � � <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHENa 0 n <br /> NEEDED. w Ul <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. c <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT 7� Q <br /> ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY cu <br /> Q <br /> PERMITTED. , <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. <br /> m �. d . m <br /> a m C m . <br /> 7. z : y °z <br /> o <br /> =y: <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my \ c p <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of m C <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m ': <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- \: o <br /> sue a permit. I further accept all liability which may be a result of the County of Burnett relying on this Information I am m <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other E m <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection. T ': <br /> m : <br /> M :: <br /> SIGN HERE <br /> (signature of owner or building con r ccttorr)) (date) <br /> ZONING ADMINISTRATOR m u / ( / <br /> v+v+tnwwto <br /> N E N N E E <br /> E O E E 0 0 <br /> 0 <br /> TOWNSHIP PERMITS MAY BE REQUIRED 0 0 0 0 0 0 <br />