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H Z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator3 <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER TELEPHONE r� <br /> c P✓ <br /> MAILING ADDRESS Ul <br /> PROPERTY ADDRESS 0335 3 5 <br /> O <br /> LEGAL DESCRIPTION c <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING 0 ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE✓ N <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 <br /> COMMERCIAL BUILDING 0 /COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE ❑ y <br /> STRUCTURE/ADDITION USE: (2✓ Z <br /> (Home/Cabin; C&rriercial Business; <br /> aa Bedroom; Deck; etc.) i c <br /> BUILDING CONTRACTOR: <br /> � n <br /> 3 <br /> C S <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS Oz c <br /> WILL BE RETURNED. — <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) ? Oo <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. c ,7 <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW uc <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, 15 <br /> AND INDICATE NORTH (N). \ <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B) BUILDING(S) 7 <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK T' <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 <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. n cx� <br /> S. INDICATE IF A WALKOUT BASEMENT I5 PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. i <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 I—.- <br /> NEEDED. - <br /> P�� r <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: > <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE Z <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 (J <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. I <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. F <br /> 7. A1C >� �oaaoa <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my 3 e a 8 ? a � T <br /> knowledge and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all 2M __ E. <br /> information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this S > > <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I 72 c, p, s= j j D <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing In thisc '. ;,,F �, w: <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have n- o : C g r' <br /> access to the above-described premiaes if y reasonable time for the purpose of Inspection. S U 8 Q <br /> „D,I <br /> OWNER'S SIGNATURE �t�� <br /> ( rE 3 '-' E: Z <br /> MM �} <br /> (date) <br /> ZONING ADMINISTRATOR��I Em = c to <br /> B C9: 2. n E <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE v w w <br /> �ctedu /r)rch � go � o <br />