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z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a .. <br /> APPLICATION FOR LAND USE PERMITS y <br /> OWNER Lnf rV d^ 7U-ea 4 (--)1,7dI e(- TELEPHONE_07—,(f `/SYg <br /> / m 1 <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS <br /> 7 o I <br /> y l nl, OF PW14e l u) <br /> LEGAL DESCRIPTION A)4J Y NtU+, se fciil love ry� - / y Y �s7,(�,y:ye7J`�ry, [Ji. o <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK ❑ GARAGE/ACCESSORY STRUCTURE 0 g <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT ❑ S <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ c <br /> STRUCTURE/ADDITION USE: [ XJr(I'�7 P o <br /> (Home/Cabin; Comm tial Business; Bedroom; Deck; etc.) <br /> I <br /> BUILDING CONTRACTOR: n <br /> O � \ <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS WO <br /> WILL BE RETURNED. y <br /> 6 <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) O <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 �l 3 <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). 1 N o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) O <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S) TO THE ORDINARY HIGH WATER MARK <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 �j 5 <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. I_ <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> i vU <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: (:!> r <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. 215 <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. O <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER C <br /> SETBACK AREA. O <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> pyaongnaoro <br /> 7. P', <br /> g o <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my 3 0,°Z �; g Q, e <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 6 m = <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this <br /> Information I am providing will be relled upon by the County of Burnett Wisconsin In detem ming whether to Issue a permit. I .e ?w b <br /> further accept all liability that may be a result of the County of Burnett relying on this Informatlon I am providing In this Q q c v+N" '_^ It <br /> application. I agree to permit county officials charged with administrating se of Isipeabn,or other authorized person to have 5 w ,Z g f~7 <br /> access ro the above-described premises at any reasonable time for the u m w w <br /> 3 's7 w 98go8o <br /> OWNER'S SIGNATURE Z010 <br /> lM �Ia✓ll /1 8 y F.5 <br /> n <br /> ZONING ADMINISTRATOR °- <br /> ) MOVE <br /> TOWNSHIP PERMITS MAY BE REQUIRED SEP 7 Z010 ^ <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSU'a <br /> � � 80008 <br /> BURNETTCOUNW <br /> ZONING <br />