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e i _ Z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> Ln <br /> OWNER rrJ / VNTELEPHONE61 <br /> ' <br /> MAILING ADDRESS ) ' <br /> PROPERTY ADDRESSJKJ <br /> LEGAL DESCRIPTION <br /> ._ _—._— IYY �-- <br /> NPE OF OERMR(5): SINGLE-FAMILY DWELLING ❑ ADDITION G DECK ❑ GARAGElACCESSORY STRUCTURE ❑ 'r <br /> BUNKHOUSE C 59.692(IV)GAZEBO . STAIRS 0 { 1-110FE-011100-4--64 CAMPING UNIT❑ <br /> COMMERCIAL BUILDING ❑ gCOMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE 13 - <br /> STRUCTURE/ADDITION USE; �Vb GF ie .��oorn' D//r���-___ <br /> (Ho e/C bm; Commerce I'Bu^s_i�oes�,"B'erd�roa-m'rfjec�k; etc.) n / <br /> BUILDING CONTRACTOR; <br /> r <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yh X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS z o <br /> WILL BE RETURNED. - c <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> r <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 <br /> BUILDINGS/STRUCTURES INS), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, a .� <br /> AND INDICATE NORTH (N). �t ` _ Z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) <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. S' <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD(DF), AND ALL DISTANCES - ) <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5 !NDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. o 11J <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. I I . <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUB]ECi TO ALL CONDITIONS LISTED BELOW: _ (17 <br /> \ T <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. r <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <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. ls- <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. Q <br /> NOT TO <br /> -B,E USED <br /> �FOR <br /> ,HUMAN HABITATION. LVl <br /> 6. c KRB✓r7 Ls�J F <br /> 7. _ A > _ n> o <br /> 3 <br /> 1 declare that this application(including any accompanying schedule)has been examined by me and to the best of my p _ <br /> knowledge and belief it Is true,correct and complete. 1 acknowledge that I am responsible for the detail and accuracy of all <br /> Information contained In this application(Including any accompanying schedule)and 1 further declare that i recognize that this _ `- > <br /> information I am providing will be relled upon by the County W Burnett Wisconsin In determining whether to Issue a pennR. I - - - - <br /> further accept all liability that may be a result of the County of Burnett relying on this Information 1 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 for W�Zofr pection. <br /> OWNER'S SIGNATURE <br /> r• b > <br /> n _ <br /> re <br /> ZONING ADMINISTRATOR. ..__ _.. . ,. <br /> T NSHIP RMITS MAY BE REQUIRE r <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE F �Y 10 2012 - <br /> BURNETT COUNTY <br /> ZONING <br />