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Z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g ° <br /> APPLICATION FOR LAND USE PERMITS H' Z <br /> s <br /> OWNERPk10NE _ c <br /> tr.Ey C7Ar)&D(55 c 12 ry�l 3l� r (v o <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS 8115 i0ay-k 6rfee-l" r <br /> M <br /> 0 <br /> LEGAL DESCRIPTION <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING 0 ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE m <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT ElO <br /> COMMERCIAL BUILDING 0 COMMERCIAL P^^[TION 0 COMMERCIAL ACCESSORY SbRUCTURE C) <br /> STRUCTURE/ADDITION USE: I Vr O o <br /> (H me/ in; CorntArciai usmess; edrool; Deck,etc.) C <br /> !� t I J <br /> BUILDING CONTRACTOR:. d r l ru (o ,y' N <br /> 7 . (/( 1 O <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 'A X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o -S <br /> WILL BE RETURNED. .� _ <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. c� <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB) AND ALL NEW <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, - c <br /> AND INDICATE NORTH (N). e c <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B) BUILDING(S) o <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK w �, <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. p <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. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE o <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> LIN <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: � � �l <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. Z C�' d <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <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 /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7• n 000 n99 b <br /> y7 <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my 3 0,°2 9 q <br /> 9 <br /> knowledge and belief It Is true,correct and complete. I admowledge that I am responsible for the detail and accuracy of all 2 d = d a y <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this v = > c m N <br /> Information I am providing will be relled upon by the County of Burnett Wisconsin in determining whether to Issue a permit. I a " S= <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing In this = <br /> application. I agree to permit county officials charged with administi atlng county ordinances or other authorized person to have ^ S"2 S o : 008 <br /> access to the above-described premises at any reasonable time for the purpose of Inspection. 3 ^ ^ >c p,w�w y <br /> 8 8 <br /> OWNER'S SIGNATURE /\ \ ._ Slt'1 3L <br /> (date) 6, <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERMITS MAY BE REQUIRED n "° <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> m�i,Led lb- 13-1 o o 0 <br />