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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administiator n c <br /> APPLICATION FOR LAND USE PERMITS <br /> Ce(I- dia-366-a96 <br /> = v <br /> OWNER TELEPHONE, ./.,16 <br /> MAILING ADDRESS 0 <br /> it t J <br /> PROPERTY ADDRE S <br /> Sect+0N a9 -Towtv3 Ra a I9 W PCL., i of 7 -b C)LEGAL DESCRIPTION O <br /> SINGLE FAMILY DWELLING ❑ GARAGE/ACCESS RY STRUCTURE ❑ ADDITION ❑ STA RS ❑ <br /> TYPE OF PERMIT(S): ^ n <br /> FILLING/GRADING CAMPING UNIT ❑ BUNKHOUS ❑ 59.6 2(1V)GAZEBO ❑ DEC ❑ `-- <br /> f <br /> STRUCTURE/ADDITION USE: G�Cc L- U G� <br /> (Home/Cabin; Commercial Busin ssBedroom; Dect,Ac.) <br /> BUILDING CONTRACTOR: a e,3 �1 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Vz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT ILANS y <br /> WILL BE RETURNED. Pla�S .sl4m;tMA ©yN 7- —07 TOJ o <br /> O <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) n <br /> � 6 <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. M <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW C <br /> BUILDINGS/STRUCTURES (NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). 61 <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 e <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND(D) LOT DIMENSIONS. c �-. Z <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DIST NCES ? <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. w' Q <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. C? <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC. THE <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 V HEN <br /> NEEDED. 96 J Q <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: C' <br /> z O <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 /> G NO STRUCTURES, INCLUDING PETAININC WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER iy Ipp <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. rnusf- mee,,- reglwi wnenf5 ouf/1n7zd b y t_anQ 4WaRr CorSeyvat-r on �. <br /> ^ gyanmttaoro <br /> ay. wS ��y <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my know edge <br /> z e.: <br /> and belief it Is true,correct and complete. i acknowledge that I am responsible for The detail and accuracy of all InPormatb '° o 9=: <br /> contained In t and I further declare that <br /> am providing wi II be belled upon(Including <br /> ltheaCounty of Burnett Wisconsin l <br /> In determining whether tos a lan permit. II further mize that this Informed pt all <br /> liability that may be a result of the County of Burnett relying on this Information I am providing In this application. I agree <br /> permit county officials charged with administrating county ordinances or other authorized person to have access to the abov - 8 PI <br /> described premises at any rea nable time for the purpose of Inspection. <br /> 0 X41 : 85 � <br /> OWNER'S SIGNATURE _ (ate) <br /> e <br /> � R � rrv^^ gw <br /> ZONING ADMINISTRATOR Im F( n t4� V' �`° � � � <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE U $ <br /> /)1�� �L/ �{2✓ /�1lGi 4D &tAj '7- <br /> a�-07 <br />