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Z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g 3 <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER TELEPHONE ` \ <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS 7wl �� fit <br /> 3a 7 7 729, , /- <br /> LEGAL DESCRIPTION )J <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION X DECK❑ GARAGE/ACCESSORY STRU URE ❑ R� 5 <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING❑ CAMPING UNIT❑ `fJ <br /> COMMERCIAL BUILDING O COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ �" S <br /> STRUCTURE/ADDITION USE: A h Z <br /> 0 <br /> .. (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: yz 7— fc ' Er�7 sit <br /> p 3 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o <br /> WILL BE RETURNED. 0 p <br /> n <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) r) I W a <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 M 'O `% o <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, '9 <br /> AND INDICATE NORTH (N). c Z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B) BUILDING(S) P <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK w Zj— <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 - w <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 0I_) <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE o i <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. -J) <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. -- <br /> r) <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: r- ' <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n Z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. J <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 O <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. ;V > nnn <br /> s n ,Ri 3 3 3 $ m <br /> 3 3 <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my o,°2 n ?a°' <br /> knowledge and belle(it is true,corect and complete. I acknowledge that I am responsible for the detail and accuracy of all us to Is <br /> Information contained in this application(Including any accompanying schedule)and I further declare that I recognize that this <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I y <br /> further accept all liability that maybe a result of the County of Burnett relying on this Information I am providing In this a <br /> application. 1 agree to permit county officials charged with administrating county ordinances or other authorized person to have ° 0,°2 <br /> access to the above-described premises at any reasonable time for the purpose of Inspection. m <br /> 0 owN <br /> " >�go88y <br /> OWNER'S SIGNATURE___ Fla n ) <br /> ZONING ADMINISTRATOR �J 'm FI U n I Ar yr <br /> °8 <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> Pe CM +-4- 1 e+i�e v -f(clod ttfo la-� J z) h ki _ren+ +09 c s, $0 0 0$ <br />