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Burnett County 7410 County Road N,No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER <br /> ) J (A"Q LI v '7 I Pr'er TELEPHONE <br /> l� C� b 1= <br /> J <br /> MAILING ADDRESS73 ' / <br /> os <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION <br /> C L r <br /> TYFE OF PFaMIT(g): SINGLE-FAMILY DWELLING❑ ADDITION ❑ DECK❑ GARAGE/ACCESSORY STRUCTURE❑ ^ <br /> BUNKHOUSE 0 59.692(IV)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE 0 <br /> STRUCTURE/ADDITION USE: �iCG%T'c�- c <br /> (Homelin;Co-mymeercial Business, Bedroom; Deck;etc.) <br /> BUILDING CONTRACTOR: �,�fiP C �� �Sr "I lo H <br /> z <br /> APLOT PIAN MUST BE PROVIDED ON AN 8'/a X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS rL <br /> WILL BE RETURNED. <br /> r <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW r <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, -I = <br /> AND INDICATE NORTH(N). O o y <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 WATERMARK ` tJ <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. Sv': <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. Q <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PIANS 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 LU \J <br /> NEEDED. <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CURING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. a <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. I` <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. l <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. ? 7> > n n n n > — w <br /> I declare that this application(including any accompanying = 3 ' <br /> . IIk ow led e)has been responsible <br /> espon ed by r e detail to ilbe hest ura y _ _ <br /> inormatiowledge and belief i in this applicectand coudinga yaccompa gingge sctl ule)and Ifu ther theareth and accuracy of all - 5. <br /> information contained in this application(including any accompanying scM1eJule)antllfortber declare that l recognize Nat[M1is _ Yd <br /> i <br /> information lamproviding will be relied upon by Me County of Bumex Wisconsin In determining wM1eMer Missuea permibI <br /> further accept all liability Mat may be a result of Me County of Burnett relying on this information I am providing in this <br /> application. l agree to permit county officials charged win administrating county ordinantts or other authorized person to On ' < gor <br /> have access to the above-described premises at any reasonable time for the purpose of inspection. — a > _ n <br /> OWNER'S SIGNATURE �" / <br /> (delta) _ ,q > 7 <br /> ZONING ADMINISTRATOR �Y"�/ ✓lam D_ D n F� Vim' r <br /> NOV 6 2013 <br /> TOWNSHIP PERMITS MAY BE REQUIRED )' _ <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISCE.E�CUNT( : , _ <br /> F ZONING o = ems= <br />