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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator n z <br /> APPLICATION FOR LAND USE PERMITS g (� <br /> w � m <br /> OWNER Ylvl�l �� TELEPHONE-�I5)q�3 -693a <br /> MAILING ADDRESS ZI 1-�l Q r"I_ L V }' ,( .�K I i' �(�y.I U v\ O <br /> V(, T <br /> PROPERTY ADDRESS <br /> -SE N f7f 5 <br /> \ I/Li 5o <br /> LEGAL DESCRIPTION <br /> S CUI"bv-k <br /> SINGLE FAMILY DWELLING ❑ GARAGE/ACCESSORY STRUCTURE ADDITION ❑ STAIRS❑ ,ol <br /> TYPE OF PERMn(S): ,e <br /> FILLING/GRADING❑.n.t JCAMPING UNIT ❑ BUNKHOUSE ❑ 59.692(1V)GAZEBO❑ DECK O ^� <br /> STRUCTURE/ADDITION USE: Gr't rpF— 'z <br /> (Home abin; Commercial Business; Bedroom; Deck; etc.) o P <br /> BUILDING CONTRACTOR: j]1.1.1.-I L <br /> �y/ � 10—Tf-L-86i <br /> (^ J <br /> A PLOT PLAN MUST BE PROVIDED ON AN B'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. A 4 <br /> o_ <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) n <br /> 6 <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. tn�7 d <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, pf 'o <br /> AND INDICATE NORTH (N). <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 v <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. N �, <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. w c <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. �? <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. 2 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN / .� LV <br /> NEEDED. '� 9 w <br /> THIS PERMIT IS SU81ECT TO ALL CONDITIONS LISTED BELOW: v <br /> z I <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. AD <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. n S <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. 1 7 <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. C) <br /> 6. <br /> 7tl2a 'a <br /> 7. R o9 <br /> 9 owa ow <br /> I declare that this application(Including any accompanying schedule)has been n Ined by me and to the best of my knowledge <br /> and belch It is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all Information <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 relied upon by the County of Bumet Wisconsin in det mini g whether to Issue a permit I further accept all c W,,,U 8 U H 8 <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 mhnty officials charged with administrating county ordinances or other authorized person to have access to the above- ti f1 <br /> described premises at any reasonable for the purpose of Inspection, m ,°O, C,rn T= Y <br /> 0 <br /> OWNER'S SIGNATURE n SI n a 2 <br /> � <br /> A <br /> 4 y s > <br /> ZONING ADMINISTRATOR ll "I N $ tm <br /> H o <br /> ' '�, r <br /> TOWNSHIP PERMITS MAY BE UIREIAUG 3 U <br /> THIS PERMIT SHALL EXPIRE ONE <br /> E YEAR FR gA�lTEOJJFISSUANCE V S U o <br />