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77 Z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator 4 <br /> APPLICATION FOR LAND USE PERMITS =: w <br /> J <br /> OWNER-?---0/21/ ,, �AZ' TELEPHONE <br /> MAILING ADDRESS /e�)22C'i �e-112_4/L WO01��/2 <br /> PROPERTY ADDRESS <br /> _ o Q <br /> LEGAL DESCRIPTION 3q-LFp <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING 0 ADDITION\0 DECK 0 GARAGE/ACCESSORY STRUCTURE 0 A <br /> BUNKHOUSE 0 59.692(SV)GAZEBO 0 STAIRS FILLING/GRADING ❑ CAMPING UNIT 0 o a <br /> COMMERCIAL BUILDING El COMMERCIAL ADDITION 1110 <br /> COOMMERCIAL ACCESSORY/STRUCTURE 0 <br /> STRUCTURE/ADDITION USE: 6 P't--5 --lQlt L_ Dr Bt-_5 <br /> / <br /> S I � C� <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc. <br /> 7 i ty <br /> BUILDING CONTRACTOR: <br /> T N I <br /> A PLOT PLAN MUST BE PROVIDED ON AN B r/a X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS c (� <br /> WILL BE RETURNED. r "" <br /> " <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) + ^p <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB) AND ALL NEW T w <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). Z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDINGS) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK m Q <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 <br /> n. <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. CT <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. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <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. V <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 /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN <br /> HABIT TION.. ! 1 <br /> 6. On as-S � Or))1Dl ,('rQUI <br /> J <br /> 7. btu cs � <br /> I <br /> >-;o n d <br /> X n " a 3 3 7 ^= �7 <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my ' m' <br /> knowledge and belief It is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this E '% <br />