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z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g ° <br /> APPLICATION FOR LAND USE PERMITS _: ry� <br /> OWNER i ` )L . I S C / J1 ^' /) L TELEPHONE ?i F _ 1 7 <br /> 3(o e <br /> MAILING ADDRESS v) £O <br /> 6rv"j am S*R VO <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION <br /> s <br /> o � <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING CI ADDITION ❑ DECK ❑ GARAGE/ACCESSORY STRUCTURE <br /> m <br /> o � <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ <br /> r <br /> COMMERCIAL BUILDING ❑ C�O[MMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ B <br /> STRUCTURE/ADDITION USE: S TO C� z <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) 0 <br /> BUILDING CONTRACTOR: <br /> n <br /> O � <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 1h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS G o <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) m <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, a <br /> AND INDICATE NORTH (N). N Z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) <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. ty o <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD (DF), AND ALL DISTANCES $a <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. tv <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, J <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. � <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: <br /> F V <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. A ^ O <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATERS�'" O <br /> SETBACK AREA. .X9 <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. d <br /> NOT TO BE USED FOR H MAN WITATION. <br /> 6. rnCi,' IYle�f Setk�R�Sf7-von Lval—ell�_ E <br /> 7. � x7ao 0 o naoro <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my g o <br /> knowledge and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all c y d-d = <br /> information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this A E.a a w `O <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I � s 2 a w" 7 <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing In this c 1 «n r,"b9 w 7 <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have ry n 6 o t! <br /> access to the above-described premises at any reasonable time for th�e/purpose of Inspection. <br /> OWNER'S SIGNATURE c $ $ $ g y <br /> T �n (, (date) <br /> ZONING ADMINISTRATOR �J t 1 T_10n ' <br /> Qn <br /> TOWNSHIP PERMITS MAY BE REQUIRED ; O °° <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DAT OF ISSUANCE =N H <br /> t��rric 4'I9fkrj01ctP6( cLp L� Cui (�hCdpr o��L� $ 000$ <br />