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N Z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a ° <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER TELEPHONE <br /> aKe� Z <br /> o <br /> MAILING ADDRESS - <br /> a a <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION <br /> TYPE OFPERMIT(S): SINGLE-FAMILY DWELLING ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE 0 <br /> d <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ 31 <br /> STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 <br /> r <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ c <br /> STRUCTURE/ADDITION USE: ���rYAO-, IJ f- C-/}/NP Z <br /> (Home/Cabin; Commercial B siness; Bedroom; Deck; etc.) I P (� <br /> BUILDING CONTRACTOR: (;f IV <br /> n <br /> O <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o <br /> WILL BE RETURNED. -� 71 <br /> n <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. 1 <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW <br /> BUILDINGS/STRUCTURES (NE), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, C� a <br /> AND INDICATE NORTH (N). I <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B) BUILDING(S) N <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK a N O <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. p <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. -� ) <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. T <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE Oc� W <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. l <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> C7 + <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n 9. <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, tFC., ALLOWED WITHIN THE REQUIRED WATER — .0 <br /> SETBACK AREA. \ <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. 8 v <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. annnnaoro <br /> a M <br /> R r u 5 3 3 � o.6n_ <br /> ti ' c <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my g 0,°z � 3 <br /> knowledge and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all pr ar <br /> Information contained In this application(including any accompanying schedule)and I further declare that I recognize that this a 9 M `O <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I ': a <br /> further accept all liability that may be a result of the County of Burnett relying on this information I am providing In thls <br /> application. I agree to permit ty of icials charge ith administrating county ordinances or other authorized person to have <br /> access to the above-de= pre 7a le tl e for the o 0 0 <br /> purpose of Inspection. N W w';4 <br /> 0 0 0 <br /> y 000co y <br /> OWNER'S SIGNATURE a a <br /> DJ j D T u <br /> ZONING ADMINISTRATOR Im <br /> TOWNSHIP PERMITS MAY BE REQUIRED JUN 2 5 2012 '95 , m <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE O tIAN C�NTM N " <br /> FiIV <br /> ZONING <br />