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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator o <br /> APPLICATION FOR LAND USE PERMITS a . <br /> OWNER J 4 }I I I i Q m y- CU L,ask l TELEPHONE <br /> MAILING ADDRESS -�; <br /> J'o Lh J Gotfar�2. Gro✓e. <br /> PROPERTY ADDRESS L3 �,LS P('ru? 1< �p ll rd O <br /> LEGAL DESCRIPTION < y <br /> SINGLE FAMILY DWELLING 0 GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ STAIRS <br /> TYPE OF PERMIT(S): ,e <br /> FILLING/GRADIINNG 0 CAMPING UNIITT ❑ BUNKHOUSE❑n 59.692(1V)GAZEBO ❑ DECK c_ <br /> STRUCTURE/ADDITION USE: )7 (.r(Ks `F Z <br /> Jf (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) o <br /> BUILDING CONTRACTOR: ! �« 1.oVl S4-oiC-A6/1 /,IC . Imo. <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS vn, <br /> WILL BE RETURNED. <br /> Cr- <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) — <br /> a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <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, nn 'tl <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) n <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK. S <br /> (OHWM) OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. N y <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES �. a <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 0 v l c <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE _ 5 <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 /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> r <br /> 1. DRIVEWAYMUSTMUST 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. f; <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. E <br /> 6. <br /> 7. <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my knowlldge �, z <br /> and belief R Is true,correct and complete. I acknowledge that I am responsible for the detall and acaracy of all Information': <br /> contained In this application(including any accompanying schedule)and I further declare that I recognize that this Informati I <br /> am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I further aaet 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 /> to o c1'" .t.. <br /> permit county officials charged with administrating county ordinances or other authorized person to have access to the above 8 f] <br /> described premises at any reasonable time for the purpose of Inspection. to <br /> y H_t Y <br /> OWNER'S SIGNATURE_ iii 2' <br /> ZONING ADMINISTRATOR ?_L <br /> v i [ <br /> TOWNSHIP PERMITS MAY BE REQUIRED JUN »» <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF UANCE 2007 o <br /> BURNETT COUNTY <br /> ZONING <br />