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f <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administlfator x <br /> APPLICATION FOR LAND USE PERMITS <br /> WNER `' TELEPHONE <br /> ry <br /> MAILING ADDRESS <br /> 4 <br /> PROPERTY ADDRESS <br /> SDS •J <br /> r <br /> LEGAL DE� RIPTION o y <br /> FEEING/B ILDIN GARAGE/ACC ORY STRUCTUR ADDITION STAIR o <br /> TYPE OF PERMIT <br /> FILLING/GRADI G AMPING UNIT BUNKHOUSE 11,111(IV)GAZEBO DEC <br /> c <br /> STRUCTURE/ADDITION USE: , <br /> � \ (Home/Cabin; Commercial s' ess; Bedroom; Deck; etc.) JQ <br /> BUILDING CONTRACTOR: <br /> A PLOT PIAN MUST BE PROVIDED ON AN B%X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT I LANS <br /> WILL BE RETURNED. O <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VI ) 12- O <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE E HOWN OR DRAWN TO SCALE. l+ J <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW y <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, RCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: ( ) BUILDINGS)TO ALL LOT LINES, (B) BUILDI G(S) n <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREM NT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM) OF LAKE, STREAM OR RIVER AND MEASURE ENT TO WETLAND AREAS. gel y Z <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD (DF), AND ALL DISTA CES E. <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. i6 <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AN SHOW AREAS TO BE GRADED OR FILLED. gOg o ffd' <br /> 6, IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC., rHE 5, W <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. R <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE W iEN -� I <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> r z <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREP ENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. r� <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. h <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. Q <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE C NLY, <br /> NOT TO BE USED FOR HUMAN HABITATION. �zC <br /> 6. <br /> xyan aoro <br /> . .c � . <br /> 1 declare that this application(including any accompanying schedule) been examined by me and to the best d my Imowl pe gggg ' c ii � '" <br /> and beaef it is true,corned and complete. I acknowledge that I am m xmsrole for the detail and accuracy of all Information <br /> centaahed In this appliatlon(Including any accompanying schedule I further dI <br /> am provhlhtg will be railed upon by the County d Bumett Wisconsin an er eclare that recognize that this then aco I <br /> n In Inirg whetherto Issue a permit. I further aces all � <br /> IlabMty that may be a result of the County of Burned relying on this Inf rmation I am providing In this application. I agree to 3'10. <br /> permit county aRlclals charged with administrating county ordinances other authorized person to have access to the above o' 1�— <br /> desotbad premises at any reasonable time for the purpose d Inspectio . 07 1' n y �*? a <br /> SIGN HERE �"'1�CbOK � d-ClQ� I O )� Z <br /> .(signaturetuof building contractor) (d ) <br /> ' <br /> ZONING ADMINISTRATOR \J <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE 8 o <br />