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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Offloe of Zoning Administrator n z <br /> APPLICATION FOR LAND USE PERMITS Z . <br /> OWNER 4q KL6V-)/p,/JEZ5 EiC{(cL TELEPHONE 71 S -327- <br /> B <br /> ^ <br /> MAILING ADDRESS 11335 1)167-TS'ojJ Jeaxrp Zjte k, kL7- Ste/ g5.3 <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION NW 14 A11A/ V1 "^ S 2 <br /> (m vS (-Q912r/mt s00-PrnPeA- <br /> 5 <br /> SINGLE FAMILY DWELLING ❑ GARAGE/ACCESSORY STRUCTURE ADDITION ❑ STALRS ❑ o S. <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING ❑ CAMPING UNIT CI BUNKHOUSE ❑ 59.692(IV)GAZEBO ❑ DECK ❑ <br /> STRUCTURE/ADDMON USE: '&J'Ln L I (� <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) c o <br /> BUILDING CONTRACTOR: <br /> A PLOT PLAN MUST BE PROVIDED ON AN B Ya X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS n <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) ° o <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. a <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW I °R <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) BUILDINGS)TO ALL LOT LINES, (B)BUILDINGS) n <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK B <br /> (OHWM) OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND (D)LOT DIMENSIONS. N <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. ^i O <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER,BUILDER, CONTRACTOR, ETC.,THE q f <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. 1 -C, <br /> NOTE: BUILDING/STRUCR)RE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN I i <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: I{I`�^� I U) <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. Z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. n 1 I <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. R <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 /> n <br /> Ind dare that this ,application a(Including any accompanying schedule)has been examined by me and u the beat of or knowledge <br /> and belief It le true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all information p � <br /> contained in this application(Including any accompanying schedule)and I further declare that I recognize that this Information I �^ <br /> am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I further accept alle F. w <br /> liability that may be a result of the County of Sumett relying on this Information I am providing In this application. I agree to n <br /> permit county officials charged with administrating county ordinances or other authorized person to have access to the above- B <br /> described premises at any reasonable time for On purpose of inspection. tow o _ y <br /> y Py 9 r <br /> OWNER'S SIGNATURE � �� Z3 ' e n S c r�zOZ�I, <br /> (date) <br /> > Kl <br /> ZONING ADMINISTRATOR J Irn 44LInIaloa <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> N M: <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE N o o <br />