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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a ° <br /> a <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER TELEPHONE e <br /> i�✓On if 2 i bon �4 r '7!5-S!o!o-S`/ad w <br /> MAILING ADDRESS <br /> 37135 John sFu»P lea4d ; we�s'Eer W 1 SY$�3 <br /> PROPERTY ADDRESS n <br /> LEGAL DESCRIPTION L,-,t3 ,.Soc- 3 391 ?(p <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING 0 ADDITION 0 DECK 0 GARAGE//ACCESSORY STRUCTUR <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 <br /> 'a <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE 0 <br /> STRUCTURE/ADDITION USE: �.0 2a-�.-z 37 f-32 Z <br /> 0 <br /> (Home/Cabin; Comme cial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: "-S <br /> O � <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o <br /> WILL BE RETURNED. y LL= <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) 111 p <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C _ <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW ma <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). J N o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) cy $ <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK py w <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. I <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD (DF),AND ALL DISTANCES J <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. (� w <br /> 5. 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 o (j <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. S W <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> O <br /> NEEDED, rj <br /> t iN 3 <br /> _. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: \ r� <br /> m <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. I E 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 <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best 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 to <br /> infornatlon contained In this application(including any accompanying schedule)and I further declare that I recognize that this c_ 9 d <br /> Information I am providing wlll be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I .� B ,� �, ? <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing in this <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have ° <br /> access to the above-described premises at any reasonable time fqrV1epurpose of inspection. m n o w w o g y <br /> ^ ` A 6aoOOO Yaw <br /> OWNER'S SIGNATUREEi <br /> ZONING ADMINISTRATOR �j i I r I 1 Y7)d <br /> c wFam <br /> TOWNSHIP PERMITS MAY BE REQUIRED g ^ <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> �� 80008 <br />