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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator n z <br /> �JAPPLICATION 7FOR LAND USE PERMITS <br /> 5 <br /> ' PERMITS <br /> OWNER TELEPHONE Zd-y a <br /> TZZ -219 <br /> a <br /> MAILING ADDRESS 1906 /t�(� r)OC(A( �LGI�i(,F'>✓� . A/1/ S.SS/) <br /> O <br /> E <br /> PROPERTY ADDRESS ,�/� 5'r(�T I��l tFod L(G�i X.E 5195,3 <br /> LEGAL DESCRI /V �Ir1I aHfyV OT /YI&P s' 3S To�/�S�A 3 e l'I <br /> 37Z 'Z5 /Z / /� 5 <br /> SINE FAMILY DWE NG ❑ RAG ACCESSORY STRUCTURE ADDITION ❑ STA RSO <br /> TYPE OF PERMIT(S): y Imo^} <br /> FILLING/GRADING❑ CAMPING UNIT ❑ BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ DEC< ❑ <br /> STRUCTURE/ADDITION USE: ""` Z <br /> (Home Cabin; Commercial Business; Bedroom; Deck; etc.) o ° <br /> BUILDING CONTRACTOR: N1ftflf- <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Vi X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT LANS C <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) o <br /> o. <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. tnr I a <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW y <br /> BUILDINGS/STRUCTURES (NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILD NG(S) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK v <br /> (OHWM) OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. o y z 1 <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DIST NCES o. <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. w' <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. t? <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE g. <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. T <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE IA HEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: JI <br /> r z V <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. n <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 <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE NLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. E <br /> 6. <br /> R <br /> 7. 2 k <br /> C' B. avoo 5 <br /> 7 Hwy : »aa � <br /> I declare that this application(including any accompanying schedule)has been examined by me and DD the best of my knowl Wile <br /> and belief It is true,coned:and complete. I acknowledge that I am responsible for the detail and a=racy of all Information a c5 <br /> contained in this application(including any accompanying schedule)and I further declare that I recognize that this Information I 9 : y: 4>� <br /> am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit I further a t all T: N—W M .q <br /> liability that may be a result of the County of Burnett relying on this Information I am providing In this application. I agree to <br /> permit county officials charged with administrating county ordinances or other authorized person to have access to the abov - B ry <br /> described premises at any reasonable time for the purpose of Inspection. „ >=? y <br /> OWNER'S SIGNATURE o m $ 2 <br /> — � <br /> ZONING ADMINISTRATOR JUN 0 1 �w <br /> TOWNSHIP PERMITS MAY BE REQUIR m 200 I ha <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DA g�uq NCE SUN o <br /> METT COU TY <br /> ZONING <br />