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Burnett County 7410 County Road K,No. 102, Siren,WI 54872 Office of Zoning Administrator b z <br /> APPLICATION FOR LAND USE PERMITS <br /> N ,n <br /> 0 � <br /> O a in <br /> OWNER e-r TELEPHONE <br /> MAILING ADDRESS <br /> Zvi L�0�s <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION <br /> TYPE OF PERMIT(S): <br /> DWELLING/BUILDING❑ GARAGE/ACCESSORY STRUCTURE 1:1ADDITION ❑ STAIRS❑ <br /> � <br /> FILLING/GRADING❑ CAMP_ING'UNIT O BUNKHOUSE❑ 59.692(1V)GAZEBO❑ DECK IZ n �A <br /> STRUCTURE/ADDITION USE: r c,V— <br /> j� (\Ho1me1/Cabin1;Commercial Business; Bedroom; Deck;etc.) c P <br /> BUILDING CONTRACTOR: <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'A X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. �O <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) o m c <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 C £n <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, �f <br /> AND INDICATE NORTH(N). y <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDINGS)TO ALL LOT LINES,(B)BUILDING(S) n <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK v <br /> (OHWM)OF LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. z <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. c <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE F ' <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> 0 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> $ � gTHIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: 9 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. O <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 43. 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 /> 7. <br /> I declare that this application(including any accompanying schedule)hes been examined by me and to the bort of my knowledge <br /> and belief it Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all information e g F <br /> contained In this application(including any accompanying schedule)and I further declare that I recognize that this information I m o <br /> am providing will be relied upon by the County of Burner Wbcoesin in determining whether to issue a permit I further accept all <br /> liability that may be a resun of the County of gott relying on this information I am providing in this application. I ass to permit <br /> county officials charged with administrating county ordinances or other authorized penton to have @axtss to the above-described 8 "' <br /> premises at any reasonable time for the purpose of inspection. <br /> LLz91v ' ]I - 4 N <br /> SIGN HERE Rri ) �,,,..,,ti 'ti : - o.j Z <br /> (signature of '°°er of building contractor) ( ) g 9t 5, <br /> Q N <br /> ZONING ADMINISTRATOR � JUN , 2006 � n o: <br /> TOWNSHIP PERMITS MAY BE REQUIRED BURNETT <br /> ZON,NGUNTY ? ' , <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUA W "U <br /> u O n O <br />