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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 = <br /> p <br /> OWNER TELEPHONE 713_SSS-O`7Sq <br /> 5E o. <br /> ed <br /> ,Lkt C-14 fthc� <br /> MAILING ADDRESS .o.. Q <br /> � <br /> PROPERTY ADDRESS <br /> Ila Shores <br /> LEGAL DESCRIPTION �ec 4o/i Pd <br /> sqj <br /> TYPEOFPERMrr(S) SINGLE FAMILY DWELLING ADDITIONA DECK GARAGE/ACCESSORY STRUCTURE m <br /> BUNKHOUSE 59.692(1V)GAZESO STAIRS FILLING/GRADING CAMPING UNIT <br /> COMMERCIAL BUILDING COMMERCIAL ADDITION COMMERCIAL ACCESSORY STRUCTURE <br /> STRUCTURE/ADDITION USE: hcch / JA[QCMZ fflaJaLmo z <br /> (Home/Cabin, Commercial Busine s, Bedroom; Deck; etc.) 9 <br /> BUILDING CONTRACTOR: <br /> n <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 L4 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o <br /> WILL BE RETURNED. <br /> c <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) f] a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> O <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, O. B <br /> AND INDICATE NORTH (N). P <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S) TO ALL LOT LINES, (B) BUILDINGS) C7 5 <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. SL d <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST) AND DRAINFIELD (DF), AND ALL DISTANCES : I� <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 4� <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE �y�` "3 <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. � (e` 0 Jj <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MYBE DONE WHEN l}tU� lllllN�� <br /> NEEDED. <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: . <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. Y <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 y T <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. <br /> 2 0 0 0 0 c <br /> -� R R S S NRA m <br /> I declare that this application(Including any accompanying schedule) has been examined by me and to the best of my c o `3° `3° g <br /> knowledge and belief It is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all <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 determining whether to Issue a permit. I <br /> further accept all liability But may be a result of the County of Burnett relying on this Information I am providing In this o- ^ se in <br /> application. I agree to permit county offldals charged with administrating county ordinances or other authorized <br /> access to the above-described remises at ny reasonable time for the D of inspection. Denson to have o o . o o <br /> � � > � go0o � <br /> OWNER'S SIGNATU E � ?�� o, a <br /> a �' mc-: oy 'V' z <br /> ` 1 <br /> ZONING ADMINISTRATOR �.,./ �'1� I(,P� <br /> o � w DC7 <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE J <br /> fN Nr N6'f ' � <br /> N N O tyn u O <br /> to O O p O O <br />