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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator 3 z <br /> APPLICATION FOR LAND USE PERMITS <br /> o <br /> ^ <br /> OWNER <br /> S T t;VE GLF�/M TELEPHONE 8z� -�� �3 a <br /> v F <br /> MAILING ADDRESS -2 v 9 /�� ST G 611 E/� ^I <br /> PROPERTY ADDRESS T" <br /> m <br /> LEGAL DESCRIPTION <br /> o_ <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE 0 I 5 <br /> BUNKHOUSE 0 59.692(IV)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ c � <br /> Z <br /> STRUCTURE/ADDIfION USE: Ca S/ N c <br /> .. (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) .W P\ <br /> BUILDING CONTRACTOR: j2,1V£ rZ. <br /> e 3 <br /> A PLOT PLAN MUST 0E PROVIDED ON AN 8 Tri X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANSC o <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) ^p <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 'O `^' kAe <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). N 9J Y <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES, (B)BUILDING(S) $ Q 0 <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK o O <br /> (OHWM) OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D) LOT DIMENSIONS. <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD (DF),AND ALL DISTANCES q <br /> TO BUILDINGS, ROADS,LAKE, LOT LINES. m <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 E G <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. I� <br /> I <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. I <br /> THIS PERMIT IS SUBSECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS.OF PERMIT. z + OI <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. B \ G <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. CCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. p ` <br /> 6. S wbF� `('u 14-ti n NZ �roa 1 -Floc DYLy <br /> u„U F <br /> ��Ooc{ roan ec t r 1 G an <br /> an ;3; a v <br /> 10 <br /> I declaretha Is application(including any accompanying schedule)has been examined by me and to the best of my 3 e 1 <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all $ m E 6 E <br /> Information contained In this application(including any accompanying schedule)and I further declare that I recognize that this >>to N; <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin M determining whether m issue a permit. I y <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 permk cou oRklels charged with administrating county ordinances or other authorized person to have <br /> access to the above-described t any reasonable time for the purpose of Inspection. to <br /> ^ C C g g o 8 g a <br /> OWNER'S SIGNATURE i' 06 a <br /> (date `aWgO �' tSt+1 <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE N«» <br />