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Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator = W <br /> APPLICATION FOR LAND USE PERMITS 4 <br /> J <br /> OWNER i TELEPHONE <br /> 0 <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS/3;7� )� h,h P 1i/• S L��O J o <br /> LEGAL DESCRIPTION y �,/ ,/ n 4_3g/nv /� .y /� y <br /> �pl ��/'G Y.Z� ��©O y��� Sol/. )o! (7cel. 3 vV <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ADDITION ❑ DECK❑ GARAGE/ACCESSORY STRUCTURE ❑ <br /> BUNK-yHOUgE Z 59.692(1V)GAZEBO ❑ STAIRS❑ FILLING/GRADING ❑ CAMPING UNIT ElCOMOMERCIAL BU DING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> z <br /> STRUCTURE/ADDITION USE: �,�LO <br /> (Home/Cabin;Commercial Business; Bedroom; De k;etc.) <br /> n <br /> BUILDING CONTRACTOR: Laft <br /> go <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'/z X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS '^ <br /> WILL BE RETURNED. n c <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. rM <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW Qn 3 <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, -r .9 <br /> AND INDICATE NORTH (N). ° 'z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B)BUILDING(S) <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <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 /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. 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. CS <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: 6) w <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. d <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. Q <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> z > o 0 0 c <br /> 7. <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my E o <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all o. <br /> information contained in this application(including any accompanying schedule)and I further declare that I recognize that this E. D m <br /> information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I <br /> further accept all liability that maybe a result of the County of Burnett relying on this information I am providing in this <br /> application. I agree to permit cou fficials charged with administrating county ordinances or other authorized person to d o : o o r <br /> have access to the above-desc' remises a reasonable time for he purpose of inspection om PI <br /> c ,z] m ooUo o$ y <br /> OWNER'S SIGNATURE (date) <br /> D <br /> By Uf) Ej <br /> cwm _ Z <br /> ZONING ADMINISTRATOR ? o N g 10 <br /> _ nm <br /> EP <br /> S2 4 2012 F <br /> TOWNSHIP PERMITS MAY BE REQUIRED w <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISS <br /> o <br /> URNETTCOUN ^" <br /> ZONING <br />