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c n Z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g 3 <br /> APPLICATION FOR LAND USE PERMITS W <br /> OWNER M I Ca p) �� Ian F{ ee)_,n r� TELEPHONE ;m 0 pp <br /> MAILING ADDRESS �a�l C` �,Je IrVl-✓) Or.�w �Q{�"1.1 Jl I nn . l �` \\ O olfJ <br /> DI - 8 <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION �A5 �n (J(}J�'e- So v+k CG60 of "lt-h-e— 0 <br /> S Eye 01 S .3 <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING 0 ..DDITION 0 DECK❑ GARAGE/ACCESSORY STRUCTUR .(_ <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING O CAMPING UNIT❑ <br /> v <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> STRUCTURE/ADDITION USE: c <br /> (Home/Cabin; mmercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: <br /> 35oZoZ / /5� S� FP01(/'r'Cr CJI o <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o_ <br /> WILL BE RETURNED. 'n <br /> CC <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) rnn o <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C w <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW M 'O 3 <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, p <br /> AND INDICATE NORTH(N). N Z <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 WATER MARK Q <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. p C <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 /> S. 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 ul o <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 <br /> NEEDED. ~ <br /> I <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: , <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n ' <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 8 a U� <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 I Q <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. s '7y >o 0 o m> o -d <br /> I declare that this appliotlon(including any accompanying schedule)has been examined by me and to the best of my a,°Z <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all A m m==m y <br /> Information contained in this application(including any accompanying schedule)and I further declare that I recognize that this v E.> > m <br /> Information I am providing will be relled upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I .p1 c n = a <br /> further accept all liability that may be a result of the County of Burnett relying on this information I am providing in this `^ti b <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have ^ 24 0 8: s or. <br /> access to the above-described premises at any reasontble time for the purpose of Inspection. °� a . A w W n <br /> t n o Nog a <br /> / zg6a> � s� � y <br /> OWNER'S SIGNATURE ` OD 0 m n m m O <br /> _ (Cate) a w6>33 �E _ Z <br /> c w Fox <br /> ZONING ADMINISTRATOR h �ta,r11G)Q <br /> y <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> Perrrtilf �r'1�1 `Pj'e ed CAP 11Pbwrd4-fotAI' fr. l�-905 � � s000s <br />