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Z <br /> t„ <br /> Burnett County 7410 County Road N, No. 102, Siren,WI 54872 Office of Zoning Administrator _ = <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER , Ln 1. /y)���5 [� TELEP\HONE <br /> MAILING ADDRESS p.. 5'5193 n <br /> PROPERTY ADDRESSII <br /> ' <br /> LEGAL DESCRIPTION <br /> TYPE OF PERMITS): SINGLE-FAMILY DWELLING 0 ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTUREX2 <br /> BUNKHOUSE 0 59.692(IV)GAZEB0 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT❑ a� —� <br /> COMMERCIAL BUILDING 0 COMMERCIAL <br /> /ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE 0 <br /> STRUCTURE/ADDITION USE: <br /> �(Home/Cabin;Commercial Business Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: <br /> z <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 V.X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS -' <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) c _P <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO RE SHOWN OR DRAWN TO SCALE. - <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW C9 <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, V <br /> AND INDICATE NORTH(N). - L <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) d <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK I o (� <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 �I�' <br /> TO BUILDINGS, ROADS,LAKE,LOT LINES, Iw <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED.LA <br /> 6. IF SEPARATE PNS ARE SUBMITTED BY AN ARCHITECT, ENGINEER,BUILDER,CONTRACTOR,ETC.,THE <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. a ) y <br /> r <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN 1 <br /> NEEDED. W <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: r IBX] <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. - <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <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. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. A > n !1n0 > cr <br /> I declare Mand belief it is ion true,correct a any acc fete. I ackacknowledge <br /> schedule)has beenexamined etl by me and table d accuracy <br /> yknowb <br /> inform bo contained <br /> belief it i this a correct tl complete.a y accompa yin Mat l am responsible Ifurt Por the are detail t I recognize <br /> of that <br /> _ <br /> information I am providing <br /> rov in this apbe re ion upon(including e C unty of Burne Wiscullonsin <br /> in l termer ng declare her 1 recognize that Miz <br /> furtherac lam hll abilit twill a the <br /> upon by the County f Burnett Wisconsinin information <br /> whether to issue ahermit 1 _ - <br /> further accept gee too Mat maybes result of r Counts dBurned ingcunty his ordinances <br /> rother providing in this - - '^vim <br /> application. the above-describad <br /> hermit countsofficials <br /> at mr,re sonith administrating tiTpreting punryse of i nre coon. r authorized person ro _ = ` 4 _ <br /> have accessro Me above-tlesaibetl premises at any reasonable tin or Me purpose of inspection. _ 3 > i <br /> OWNER'S SIGNATURE € q <br /> (nate) <br /> ZONING ADMINISTRATOR <br /> ✓/ JUL-IT-90-13 �1 T <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSLIWA JETT COUNTY a ' <br /> ZONING <br />