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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Offlce of Zoning Administrator ro z <br /> APPLICATION FOR LAND USE PERMITS a ° <br /> OWNER J Pg•✓cE� ��!/��T'TI TELEPHONE <br /> MAILING ADDRESS ^. <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION �lv% �'+'�T"�C L4T <br /> 7ok7yt�6i`�,9tf'SLo�/ s <br /> SINGLE FAMILY DWELLI G 0 GARAGE/ACCESSO STRUCTURE 0 ADDITION STAIRS 0 c <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING 0 CAMPING UNIT 0 6 NKHOUSE 0 59.692(1V)GAZEBO 0 DECK Cl <br /> / 0% <br /> STRUCTURE/ADDITION USE: 0 H (4- 4a Sii i/RIPj,'.111-1 <br /> ( Ome/Cabin; Commercial Business; Bedroom; Deck; etc.) � I^ o <br /> BUILDING CONTRACTOR: <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 xh X11 SHEET OF PAPER. ANY IN MPLETE OR ILLEGIBLE PLOT PLANS N <br /> WILL BE RETURNED, C <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS O 4 � <br /> WN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION O <br /> N AND SIZE OF ALL EXISTING R DISTANCES TO E UILODINGS/STRUCTURES (EB)AND ALL NEW c <br /> BUILDINGS/STRUCrURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, hr I'v O <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B) BUILDING(S) 1 0 <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. N y <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD (DF),AND ALL DISTANCES o Z <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. � ) <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. p C> <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE <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 <br /> NEEDED. <br /> THIS PERMIT IS SUBIECi TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. X <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 'p i <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED, n <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> S. <br /> NOT,pTOOBBE-_�U,S.EEDDU OR HE/GARAGE PERMITS UMAN HABITATION.ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. I <br /> 6. so!90 cl 00k.-6ee s�,r-s,<�* t)y � 5 <br /> �. rr r RRoSc ro <br /> n3 � Fa� tit <br /> I declare that this application(Including any amompanying schedule)has been examined by me and to the best of my knowledge 3 C y <br /> IT <br /> and belief It is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all Information �' w `3 <br /> contained n this application(Including any accompanying schedule)and I further declare that I recognize that this Information I y <br /> am providing will be relied upon by the County of Burnett Wisconsin in determining w «"«+«N <br /> liability that may be a result of the County of Burnett relying an this Information I awhether to Issue a permit I further accept all <br /> In providing In this application. I agree to m k u$ u 8 <br /> t% <br /> permit county OMcials charged with administrating county ordinances or other authProviding <br /> person t - o <br /> have access to the aboveR <br /> described premises at any reasonable time for the purpose Inspec on <br /> OWNER'S SIGNATUREI� Sia; <br /> 8 � S ► <br /> i e :Z <br /> (date) S a <br /> ZONING ADMINISTRATOR I(yt C T N =w <br /> TOWNSHIP PERMITS MAY BE REQUIRED NETT COON = ` <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSU h H <br /> ZONING $ <br />