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Z <br /> e <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS y <br /> a' 1 <br /> OWNER N4 e I�roae di e 5 LL TELEPHONE o <br /> MAILING ADDRESS <br /> A17179-5 Jvhasor` L� �I �tJe�s�e� L(ll 51893 <br /> PROPERTY ADDRESS <br /> o�r�'1 '� S LSohnso,., L n <br /> LEGAL DESCRIPTION <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK O GARAGE/ACCESSORY STRUCTURE I� 5 <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS❑ FILLING/GRADING❑ CAMPING UNIT❑ D <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDITION O COMMERCIAL ACCESSORY STRUCTURE ❑ c <br /> STRUCTURE/ADDITION USE: 1 rrh 5 Ke_ 'er--- I Y r0 <br /> . (Home/Cabin; in <br /> in; Commercial Business; Bedroom; Deck; etc.) - P <br /> BUILDING CONTRACTOR: el_ r <br /> p 3 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C 0 <br /> WILL BE RETURNED. - 0 — „^ <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C <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, v <br /> AND INDICATE NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(5) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK 5 <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 q C>TO BUILDINGS, ROADS,LAKE, LOT LINES. o m i <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 .. (WA) <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. , <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN ti Q 1 <br /> NEEDED. <br /> (T C <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n Y O <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. A L3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. I <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. W Id <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> 6 NOT TO BE USED FOR HUMAN HABITATION. <br /> 7' T no <br /> 3 Soo8 + trail <br /> � ze <br /> [declare that thisapplication(intluding any accompanying � 2R8-R accompanying schedule)has been examined by me and to the best of my 33 o Z ;, 8 F3 <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all g ' to <br /> Information contained in this appikatlon(including any accompanying schedule)and I further declare that I recognize that this ° \E.> <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to Issue a permit. I E moo:R a: ` a <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing in this °c 5'a _y <br /> application. I agree to permit county of ials charged with administrating county ordinances or other authorized person to have ° u),0 R <br /> access to the above-described remises at an reasonable time for the u $$ $v5 <br /> �( D Y purpose of inspection. m � �^'`�,,, <br /> OWNER'S SIGNATURE- <br /> (date) <br /> SSI=_z <br /> ZONING ADMINISTRATO a u E c <br /> TOWNSHIP PERMITS MAY BE REQUIRED o "° <br /> THIS PERMIT SHALL IXPIRE ONE YEAR FROM DATE OF ISSUANCE ' I�.=N»H«" <br /> N N$O O O$ <br />