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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator n o <br /> APPLICATION FOR LAND USE PERMITS a (� <br /> OWNER TELEPHONE c <br /> nv�iP 7 enZe�2 1 /n _ (12,pI�2,, 1 U?�T -aZ�Z <br /> MAILING ADDRESr�/.� <br /> PROPERTY ADORES IJG, 4 5fi - C V(]tX -Tl a- 1)a-r' bLLV'j C/, R Q <br /> LEGAL DESCRIPTION Lk) <br /> to <br /> DWELLING/BUILDING 0 GARAGE/ACCESSORY STRUCTURE ADDITION 0 STAIRS 0 <br /> TYPE OF PERMIT(S): .y <br /> FILLING/GRADING 0 CAMPING UNIT 0 BUNKHOUSE ❑ `59..699-2((,1V))G�AJZEBO ❑ DECK ❑ <br /> STRUCTURE/ADDITION USE: �.7 'S� ^v' v "�'1� (on / <br /> L LI '� z <br /> (Home/Cabin; Commercial Business; droom; Deck; et o <br /> BUILDING CONTRACTOR: �Sc W,�'w <br /> r <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Ya X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS � S Q <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) ' o <br /> 'o & <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m C m N <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW ,r-„ W <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, m 5. r n t^u <br /> AND INDICATE NORTH (N). -3 i <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) o <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK z a ,y <br /> (OHWM) OF LAKE, STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. Y <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD (DF), AND ALL DISTANCES r \ -�. P <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. ' <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. A o <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE n ) <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. o N <br /> �3 I <br /> NOTE: BUILDINWSTRUCfURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN � c � � <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: o <br /> o. a v, 6 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. A n <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. Q <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> N9T TO BE USED FOR HUMAN HABITATION. <br /> 6. /1/D W of(a,-)k pe-e- 6 N rl etr „ a a m o a ^e <br /> 7. SjvrCL <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my knowledge <br /> and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all Information ,� o w <br /> contained In this application(including any accompanying schedule)and I further declare that I recognize that this information I ,,, <br /> am providing will be relled upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I further accept all N o w o <br /> liability that may be a result of the County of Burnett relying on this Information I am providing In this application. I agree to <br /> permit county officials charged with administrating county ordinances or other authorized person to have access to the above- S [] <br /> described premises at any reasonable time for the purpose of inspection. c E > <br /> gg5 .. <br /> SIGN HERE o epi <br /> (signature of ow of building contractor) (date) S ii Ky <br /> ZONING ADMINISTRATOR J/f-" r(a/i(Qqn <br /> 5 ? : <br /> TOWNSHIP PERMITS MAY BE REQUIRED C <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE 0� S o <br />