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e Z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g <br /> APPLICATION FOR LAND USE PERMITS : y U' <br /> o N �OWNER <br /> TELEPHONE <br /> o <br /> MAILING ADDRESS -� <br /> PROPERTY ADDRESS SLI <br /> �u ♦vt � i <br /> < O <br /> LEGAL DESCRIPTION S <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING 0 ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE <br /> r <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT ❑ <br /> ro (N� <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURED S' <br /> STRUCTURE/ADDITION USE: Gcr`o- 54o r, z <br /> (Home/Cabin; Com ercial Business; Broom; Deck; etc.) 0 <br /> BUILDING CONTRACTOR: Lnn <br /> O � <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Vz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o <br /> WILL BE RETURNED. <br /> m <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, R <br /> AND INDICATE NORTH (N). Z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDINGS) ° <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK 5' <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 vv <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 <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 y 1 <br /> NEEDED. O <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n z O <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. to C <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 /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. f <br /> 7. s ;0 > o oo� a "ti <br /> <u n 3 <br /> y 3 3 ' ` = <br /> 1 declare that this application(including any accompanying schedule)has been examined by me and to the best of my 3 p� =' 8-,� ,�„ ,e <br /> knowledge and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all p ' m E$ y <br /> information contained In this application (Including any accompanying schedule)and I further declare that[recognize that this _. D W N . <br /> Information 1 am providing will be relled upon by the County of Burnett Wisconsin in determining whether to Issue a permit. I m ? $a <br /> further accept all liability that may be a result of the County of Burnett relying on this Information 1 am providing In this 'w H ! �<,in N y <br /> application. 1 agree to permit county officials charged with administrating county ordinances or other authorized person to 0� : ,r., <br /> have access to the above-described premise at any <br /> reasonable time for the purpose of Inspection. � � > i«�w N'N A <br /> OWNER'S SIGNATURE 1 n �Q <br /> as�; ✓� I �/�,� (date) <br /> ZONING ADMINISTRATOR t J I 1 /�FL an j oa ) <br /> TOWNSHIP PERMITS MAY BE REQUIRED V, C, <br /> a. <br /> HIS PERMIT HALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE ? r <br /> J N H 4 <br /> to N O O O O O <br /> 4O O <br />