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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g " <br /> APPLICATION FOR LAND USE PERMITS 1 <br /> OWNERTELEPHONE O <br /> � n�T4-�yMar C�rlz �r (n5/ YyS:3C,i.2 <br /> MAILING ADDRESS <br /> Ce Crt1;eTS-Kzv+- 2c�sa.�l(e,/rIi ssrrs <br /> PROPERTY ADDRESSS-1/P <br /> J p <br /> LEGAL DESCRIPTION <br /> TA <br /> TYPE OF PERMIT(5): SINGIF-FAMH DWELUNGO ADDITION ❑ DECK ❑ GARAGE/ACCESSORY STRUC URE g s <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 j <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE 0 <br /> STRUCTURE/ADDITION USE �/' SJu' iYD 4 - o <br /> (Home/CabComBusin/e/11�� oom; Deck; etc.) <br /> BUILDING CONTRACTOR: / " f- <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS m o <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. n <br /> 2 SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW 3 <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, S <br /> AND INDICATE NORTH (N). J <br /> 3. SHOW DIMENSIONS W FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B) BUILDING(S) C> yy <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK YV <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. CO o <br /> 4. SHOW THE LOCATION OF THE WELL('N), SEPTIC TANK (ST) AND DRAINFIELD (OF), 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. ,�` V� <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE w <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. IS <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 /> V. <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION 15 RESTRICTED ALONG SHORELINE. `QJ E la fl <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> STRUCTURES,-INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER - L- <br />-4r140 <br /> SETBACK AREA. /l1yNUtlJII U <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. f <br /> 6. <br /> � p > nnn n> C � <br /> T <br /> 1 dedem Mat MIs application(Including any accompanying schedule)has been examined by me and to Me best of my 3 0.'7 g _ <br /> knowledge and bellef It Is true,rotted and complete. I acknowledge that 1 am responsible for Me detalt and accuracy of all - <br /> Information contained In this application(Including any accompanying sclledule)and 1 further depend Mat 1 recognize Mat This _> > <br /> Information 1 am providing will be relled upon by Me County of Burnett Wisconsin In determining whether to Issue a permit. 1 <br /> further accept all liability Mat may be a result of Me County of Burnett relying on MIs Information 1 am P'o d ing In this <br /> application. I agree to permit county officials charged arm administrating county ancloanres or other aift lzed person to have _ C3 c;.":: 8 8 <br /> access to the above-descrileadjoeplies at any reasonable time for Me purpose of Inspection. v i o8'w- j <br /> `3 . a- o88 > <br /> OWNER'S SIGNATURE <br /> ZONING ADMINISTRATOR WE l}1' m <br /> TOWNSHIP PERMITS MAY BE REQUIRED SEP 62013 I <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF IS CE o NN o <br /> BURNETTCOUN <br /> ZONING <br />