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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator -0 O Z <br /> APPLICATION FOR LAND USE PERMITS �_. <br /> r <br /> w <br /> , c <br /> OWNER l P 5 4e V ` ` f, n'�. r /5 C%/) TELEPHONE 'ft -C <br /> MAILINGADDRESS � Jp ���t� �y;�5 �� S�11Ly D O <br /> PROPERTY ADDRESS �� �) � <br /> (r. <br /> LEGAL DESCRIPTION(see tax receico <br /> pt) Q m <br /> DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE ADDITION ❑ _ 1 c 0 4 <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ 9: <br /> STRUCTURE/ADDITION USE: v • •. o <br /> (Home/Cabin; Commercial Business; Bedroom;­Deck, co <br /> BUILDING CONTRACTOR: `1'�/��. �. <br /> v <br /> v <br /> A PLOT PLAN MUST BE PROVIDED ON AT EAST AN 81/2X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. -n 3. <br /> O — <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) <br /> 0 CD <br /> q <br /> nn <br /> Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OFA L EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m o <br /> NORTH(N). C <br /> 3. SHOW DIMENSIONS IN FEET OF THE F LLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m ,� 3 <br /> CENTERLINE OF ROAD,(C)BUILDING(;)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF <br /> LAKE, STREAM OR RIVER AND MEASU EMENT TO WETLAND AREAS. o <br /> 4. SHOW THE LOCATION OF THE WELL( ),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO <br /> BUILDINGS, ROADS, LAKE,LOT LINES (Z <br /> 5. INDICATE IF A WALKOUT BASEMENT I PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. N �X`J? <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE PLANS 0 pb <br /> MUST BE SIGNED AND DATED BY THE OWNER. o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAYBE DONE WHEN7 <br /> NEEDED. m ° \ <br /> THIS PERMIT IS SUBJECT TO ALL CONDITI NS LISTED BELOW. o L <br /> CONDITIONS OF PERMIT: <br /> o <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT SCJ <br /> ISSUANCE.2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. C1 <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY - <br /> PERMITTED. � O <br /> 4. NO STRUCTURES, INCLUDING RETAIN'Iiir4 WAI I S rTc Al I OWFD WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. This structure to be used as private residential <br /> garage/storage only. Not to be used for human X m C- r. > o a o -0 <br /> 6 .habitation. m <br /> m 3 'a m x a <br /> 7. I 0 'D y y y3, 3 <br /> Z C n CD <br /> O <D i 4i`G i i i <br /> I declare that this application (including an accompanying scneowem <br /> / nas Deen exameu uy live allu ru O ueaa of my — (' m <br /> : A <br /> knowledge and belief it is true,correct and c mplete. I acknowledge that I am responsible for the detail and accuracy of J ' w N: C <br /> all information contained in this application(ncluding any accompanying schedule)and 1 further declare that I recognize J: m m <br /> that this information I am providing will be ri lied upon by the County of Burnett Wisconsin in determining whether to is- ' ° in <br /> sue a permit. I further accept all liability whi h may be a result of the County of Burnett relying on this information I am o0: o <br /> providing in this application. I agree to per nit county officials charged with adm'n' rin county ordinances or other <br /> authorized person o have cess to the ab a described premises at any reasona It c n. m <br /> ' a ; <br /> CD <br /> SIGN HERE `D a <br /> a : <br /> (signa, a own r or uil ing contractor) ( ate) ; p <br /> 0 <br /> ZONING ADMINISTRATOR /Z ' AUG 2 2 M <br /> .''� ._ Qin? v+ <br /> IQTOWNS BURNETT COUNTY IP PERMITS MAY REQUIRED nn��,,nnlI <br /> THIS PERMIT SHALL XPIRE ONE YEAR FROM DATE OF SSgANCE'G <br /> R � m r lf' -fv IU�sa y� Irl yn �UICI�o861, -a3-6S <br />