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C O <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g <br /> APPLICATION FOR LAND USE PERMITS h <br /> O N <br /> O R <br /> OWNER/ S TELEPHONE a <br /> MAILING ADDRESS Pr <br /> 1� <br /> A 315 hone e t"rd.lhcr A44dfSoil V1 537/8- /93! " <br /> h <br /> PROPERTY ADDRESS rX3 <br /> LEGAL DESCRIPTION <br /> /or 2 GS,N ✓ 22 81 Ee�.Aot Z, Sa. 33 ,'l-0 /6 Oz(l/ud �JAl <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ADDITION ❑ DECK ❑ GARAGE/ACCESSORY STRUCTURE ❑ N <br /> 0 <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 'n <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMM RC L ACCESSORY STRUCTURE 0 c <br /> STRUCTURE./ADDITION USE: 'i ��Q� / <br /> (Hosie/Cabin; Cornrnerciai Business; BedrOum; Deck, etc.) <br /> BUILDING CONTRACTOR: <br /> O � <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 rh X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS 0 0 <br /> WILL BE RETURNED. T <br /> ` � c <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) m N a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. y O <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW m w 3 <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, o <br /> AND INDICATE NORTH (N). c Z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) '0 — P <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 r <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. v, O <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. 7O Liu <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> i <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: r <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETA-1­10% IS RESTRICTED ALONG SHORELINE. 4 <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. 'A 8 <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 /> 7. '> o 0 o C] a0 ro <br /> N x^ 333 P= <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my3 0,°2 ,, e <br /> knowledge and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all c to _ <br /> RL E m H <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this v g_ > D to <br /> information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to Issue a permit. I 5 <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing In this c 9Z H. a,w"d'{"„ 7 <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have " n.°z o o c o <br /> access to the above-described premises at any reasonable time for the purpose of Inspection. eA' j <br /> w dowwoo > <br /> � .A > O O O <br /> OWNER'S SIGNATURE �Y / n y, > <br /> (date) 3 <br /> ZONING ADMINISTRATOR v �gi/ al6 F c w' ' <br /> yry � 6 <br /> TOWNSHIP PERMITS MAY BE REQUIRED A °° <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE N o «o <br /> 0 0 0 0 0 <br />