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Burnett County 7410 County Road K,No. 102, Siren,WI 54872 Office of Zoning Administrator < ° <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER )^/� l hn L cLC j20.C� TELEPHONE // ff <br /> J _ <br /> 1 <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS4C s \J n L�' <br /> Ave, 1 _ <br /> r <br /> LEGAL DESCRIPTION <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING❑ ADDITION'❑ DECK ❑ GARAGE/ACCESSORY STRUCTURE�, o <br /> CSCree` \ <br /> BUNKHOUSE❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ <br /> J o <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> C <br /> STRUCTURE/ADDCRON USE: J Cr'p_Q_y--� C1�-\C^C�u (Y \U q�ClgL <br /> (Home/Cabin;Commercial Business; Bedroom; Deck; etc.) v v <br /> BUILDING CONTRACTOR: TP2 S C.C�h S'� C U. C <br /> O � <br /> 77 < <br /> 0 <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. <br /> O <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) c m <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 _Q o <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, V 3 <br /> AND INDICATE NORTH(N). c '9Z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B) BUILDINGS) CJ �'-°' o <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. SLJ <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. O <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. -I- <br /> 6. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER,BUILDER,CONTRACTOR,ETC.,THE (S- <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 I� <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: /� r <br /> v 1 � <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 /> /. > 000na ° ro <br /> El El Ll <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my 3 0,� .°„ ? S <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all '= 'm 'm' a : : y <br /> information contained in this application(including any accompanying schedule)and I further declare that I recognize that this <br /> information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I m g. 'a = > <br /> further accept all liability that maybe a resultof the County of Burnett relying on this information lam providing in this q_ d, N ro <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to C] = o o o ri <br /> have access to the above-described premises at any reasonable time for the purpose of inspection. o yH D : sn A <br /> 0 1 CO OG ° 6q W W N W <br /> OWNER'S SIGNATURE \(` a l.l/ tl, MQ_f-C. 3 'z1 0 0 0 0 o y <br /> A <br /> R 6 ° <br /> (date) n bs a'� <br /> ZONING ADMINISTRATOR Fjta11 ° a o o p H <br /> TOWNSHIP PERMITS MAY BE REQUIRED d <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE o <br />