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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator = <br /> APPLICATION FOR LAND <br /> J USE PERMITS <br /> OWNER Lt�TELEPHONE (� L <br /> MAILING ADDRESS 'dq0 S y FrereG / QGcnbU� �✓/ 5-118130 �( <br /> �r> <br /> PROPERTY ADDRESS a90s� � Rc <br /> LEGAL DESCRIPTION / Uf 31 CSM UO/ N N <br /> TYPE OF PERMIT(5): SINGLE-FAMILY DWELLING 11 ADDITION❑ EC ❑ G—IM /ACCESSORY STRUCTURE <br /> BUNKHOUSE❑ 59.692(IV)GAZEBO❑ STAIRS❑ FILLING/GRADING❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE❑ 'lel <br /> �' l� / ' <br /> STRUCTURFJADDIIION USE: t J � X��P �r��� <br /> /y^ (Home/Cabin;Commercial Business Bedroom; Deck; etc.) 0 <br /> BUILDING CONTRACTOR: ��/ 1 <br /> AP LOT PLAN MUST BE PROVIDED ON AN 8`/z X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. OT <br /> rr <br /> DIREMONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) c v <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 I. c <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). O I 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 pro <br /> (OHWM)OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. co <br /> _ Q <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK ST)AND DRAINFIELD(DF),AND ALL DISTANCES ? .! <br /> TO BUILDINGS, ROADS, TAKE,LOT LINES. I <br /> 5. INDICATE IF A WALKOUT BASEMENT 15 PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. W <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR, ETC.,THE y <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. p W <br /> NOTE: BUILDINGISTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. - A <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: S.+ <br /> r <br /> I. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. _ (A <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. Iz <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. I� C <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCIURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. < <br /> 6. <br /> 7. 3 - - - - - - - - <br /> I declare that this a application F _ <br /> pp ,(including complete. <br /> I ink schedule)has been responsible <br /> espon ed by r the d to Bert u my ,� � '�, <br /> knowledge and tamed in We,correct and couding any. I accompaNge Mate ale)and I Notfor fM1earetha Ireccuraq chof at this <br /> _ > <br /> information contained in thisapPewtion uponbi Me <br /> guru it Wisconsin <br /> lhrmining declarethatissues recognize I _ <br /> information 1 am providing will be relied upon by Me County of Burnett Wisconsin in determining wheMer M Issue a permit. I = <br /> further accept all liability Mat maY bea result of the County of Burnett relying on His information l am Providing in this _ T _q <br /> application. l agree to permit onlcials charg wi[M1 administrating wanly ordinances oraMer authorized person fo _ - <br /> bayeaccesstotheabore-de rib d I sat anY -sonaUle time For the purpose of inspection _ v. <br /> OWNER'S SIGNATURE // 3 `; 4 <br /> ZONING ADMINISTRATOR 1 11 _'.. E <br /> O vl•' ' n C . F <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE o _ <br />