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u <br /> c ° <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS . <br /> 5 � � <br /> OWNER. <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS Q <br /> �) 3 ! v f 6n 1L/f/'1/r f o • <br /> LEGAL DESCRIPTION o <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK ❑ GARAGE/ACCESSORY STRUCTURE <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT ❑ <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDMONGOCA4-MERCIAL ACCESSORY STRUCTURE ❑ <br /> STRUCTURE/ADDITION USE: z t <br /> (Home/Cabin; Commerc I Business; Bedroom; Deck; eV.) <br /> W <br /> BUILDING CONTRACTOR: Al 1 <br /> A PLOT PUN MUST BE PROVIDED ON AN 8 Yx X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. <br /> d <br /> =ECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) Na <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 l4°i b `'' o <br /> BUILDINGS/STRUCTURES (NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, �y a <br /> AND INDICATE NORTH (N). N o <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. �p <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES I CP <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> }i. 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 /> Ci <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN ..� <br /> NEEDED. 0 <br /> THIS PERMIT IS SUBJECTTO ALL CONDITIONS LISTED BELOW: r G QP <br /> � G <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n ,z <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 p '� <br /> SETBACK AREA. - �J <br /> 5. ACCESSORY.STRUCTU RFrGeapGF PERMITS ALLOW FOR PRIVATE RESIDENTIArGARAGE/STORAGEONLY�� <br /> 6.7 NOTTO BE USED FOR HUMAN HABITATION. <br /> Z gp a n n n 9 0 b <br /> trf <br /> I declare that this application(Including an accompanyingschedule has been examined b me and to the best of x c 3 3 9 <br /> PP ( 9 Y ) Y rcy 3 ? � R _ R � : r <br /> knowledge and belief It Is true,correct and complete. I acknowledge that t am responsible for the detail and accuracy of all n m= m- � a y <br /> infomtatbn contained In this application(including any accompanying schedule)and[further declare that 1 recognize that this m I a a m,�, <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to issue a permit. I n i w= <br /> further accept all liability that may be a mutt of the County of Burnett relying on this information I am providing in this s, I; b <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have <br /> access to the above-described pre sat any reasonable time for the pWpost of Inspection. <br /> h7 m y� 000i3 .qj.. <br /> OWNER'S SIGNATURE �— ,' � ' ,r'�. ""r" — � y, j ' m n m 'q O <br /> ° <br /> ZONING ADMINISTRATO <br /> CT o n ah1 <br /> TOWNSHIP ERMTfS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONk YEAR FROM DATE OF ISSUANCE <br /> f G N N <br /> I �(lY1if4te-� M6lleC� f� <br />