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z <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITSG <br /> OWNERilC SAn S�unsOf•1 TELEPHONE, <br /> MAILING ADDRESS ( q_?0 <br /> PROPERTY ADDRESS (n 9.�O min/'1E2V14 Lr�r) r)l> RolanZ. <br /> ? <br /> LEGAL DESCRIPTION L (✓-7' / l/ / f/ Fn/^ 13 <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING C1 ADDITION O DECK !� v <br /> GARAGE//ACCESSORY STRUCTURE <br /> BUNKHOUSE❑ 59.692(1V)GAZESO O STAIRS❑ FILLING/GRADING ❑ CAMPING UNIT ❑ o �-- <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION 0❑n COMMERCIAL ACCESSORY[STTRUCTURE❑ 3 <br /> STRUCIUREIADDITION USE: Sao Q kAb e_— 97t/�'1 O h ] <br /> ,((Home/Cabin; mercial Buvness; Bedroom; Deck;etc.) <br /> BUILDING CONTRACTOR: IKL 'YYJQ-/I114 tl (!fOIIST v <br /> p <br /> z <br /> AP LOT PLAN MUST BE PROVIDED ON AN B`/a X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS r 'V <br /> WILL BE RETURNED. <br /> n <br /> T <br /> DIRECTIONS FOR PLOT PIAN DRAWING: (A CES O TOP VIEW) <br /> I. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN S/ DRAWN RE SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGSAND OTHER S (EB)AND ALL NEW C? <br /> BUILDINGS/STRUCNRES(NB), INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). ^i o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) �' b <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, <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(OF),AND ALL DISTANCES �[ <br /> TO BUILDINGS, ROADS, LAKE,LOT LINES. r (� <br /> S. 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 50 AN ONSITE VERIFICATION MY BE DONE WHEN <br /> U y <br /> NEEDED. <br /> THIS PERMIT 15 SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. d z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. z <br /> 3. NO GRADING OR SHOREIAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. di <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER 5{ <br /> SETBACK AREA. CJ <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION, <br /> 6. <br /> I declare that this application(including any accompanying schedule)hazbeen examined by meandtothe Basi a <br /> knowledge and belief it is true,correct and complete. I acknowledge that s am responsible for the detail and accuracy of all � n a. T -i <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 relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I <br /> further accept all liability that may be a result of the County of Burnett relying on this information I am providing in this <br /> application. I agree M Permit county officials charged with administrating county ordinances or other authorized Person to — =_ <br /> have access to the above- fcribed prep ices at any re sonable time for Me purpose a1 inspection. B > d. n <br /> i <br /> OWNER'S SIGNATURE 3 Y ,°, g R o- o ,� <br /> ZONING ADMINISTRATOR_ _ ,1_�-j LvlI_ <br /> TOWNSHIP PERMITS MAY BE REQUIRED Iv TI'J <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF I$UTT COUNTY <br /> ZONING - <br />