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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administ ator o <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER TELEPHONE <br /> JoArq/4c P GRL <br /> MAILING ADDRESS 1344 j '�— Avr- NO WaPL-- GROY F- mrl 5S 3b t <br /> n <br /> PROPERTY ADDRESS a9,7 S,7 LAYL D IJAN Bo d2 W Z <br /> 33 31 Sa <br /> 35 Si 5 s 35 a PcL Gvv DoT a <br /> LEGAL DESCRIPTION 633/P11/R IL VJ 6,76- AcI2E5 Sec. 33 + NW w d <br /> 33 o 'oon .' SEC 34 (W trr+ [s <br /> SINGLE FAMILY DWELLING ❑ GARAGE/ CCESSORY STRUCTURE ADDITION 0 ST RS ❑ .'253 0 <br /> TYPE OF PERMIT(S): 'O <br /> FILLING/GRADDI�NG 0 CAMPING UNIT b BUNKHOUSE C 59.692(1V)GAZEBO 0 DE K O <br /> STRUCTURE/ADDITION USE: GR2A G2_ r P <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> ISREG 0-��W2-T <br /> BUILDING CONTRACTOR: ,fl <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 yz X11 SHEET 0 PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C <br /> WILL BE RETURNED. < _ <br /> C7 c_ H <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) "I S <br /> � 6 <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO B SHOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTINGBUILDINGS/STRUCTURES (EB)AND ALL NEW .^. <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). n <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING:; (A) BUILDING(S)TO ALL LOT LINES, (B) BUIL ING(S) 3 <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUR MENT(S)TO THE ORDINARY HIGH WATER MARI: <br /> D AREAS, AND (D) LOT DIMENSONS. <br /> 4. SHOW(OHWM) <br /> HEFLOCATION OF THLAKE, STREAMOE WELL(W)SEPTIC RIVER AND WETLA2ANK(ST)AND DRAINFIELD (D)I AND ALL DIST NCES c N z <br /> 0 o <br /> n <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. Mpp <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNEDND SHOW AREAS TO BE GRADED OR FILLED. W c <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCH TECT, ENGINEER, BUILDER, CONTRACTOR, ETC ,THE <br /> PLANS MUST BE SIGNED AND DATED BY THE OW ER. <br /> I <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSrTE VERIFICATION MY BE DONE NHEN r ( n <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BEl1DW: <br /> w <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQU14EMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATIaaN IS RESTRICTED ALONG SHORELINE. n <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. E ( n <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,�ETC.,ALLOWED WITHIN THE REQUIRED WATER11 <br /> SETBACK AREA. <br /> S. ACCESSORY STP.UCTURE/GARAGF PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGEONLY. ,£ C <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. � ��cmx> 0 � <br /> 7. <br /> I declare that this application(Including any accompanying schedul )has been examined by me and to the best of my kno ledgeF g z w C" <br /> and belief It Is true,correct and complete. I acknowledge that Ian responsible for the detail and accuracy of all information I'A o 'c - <br /> contained in this application(including any accompanying schedule and I further declare that I recognize that this Informa ion I �.� 7 <br /> am providing will be relied upon by the County of Burnett Wisconsli In determining whether to Issue a permit. I further a ept all <br /> liability that may be a result of the County of Burnett relying on thi Information I am providing In this application. I agree to <br /> permit county officials charged with administrating county oMinan s or other authorized person to have access to the aboe- <br /> described premises at any reasonable time for the purpose of inapt on. E ^ n G c = ,ag <br /> ft <br /> OWNER'S SIGNATURE L`� �" — (date) nes a _a C) ,>n <br /> �1 I 1 �Vl ( Q Z V 6OC <br /> i t= <br /> ZONING ADMINISTRATOR tel � .�. <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE ^ <br /> Az rn-m I r�er 01 i l e ' �a0 a� 7� <br />