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IIz'' 11 <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator _ <br /> APPLICATION FOR LAND USE PERMITS L <br /> OWNER �Au/ k,GK I . TELEPHONE \MAILING ADDRESS Cn3 O 3 C71 �CIY Dli�C(r-�T�, ,01 /)QUOV ry /yI <br /> N SS lS3�/ Q <br /> PROPERTY ADDRESS <br /> D� <br /> LEGAL DESCRIPTION PeI <br /> TYPE OF PERMITS); SINGLE-FAMILY DWELLING f ADDITION❑ DECK 0 GARAGE/ACCESSORY STRUCTURE <br /> BUNKHOUSE 0 59.692(lV)GAZEBO 0 STAIRS 0 FILLING/GRADING Cl CAMPING UNIT 0 <br /> COMMERCIAL BUILDIINNG 0 COMMERCIAL ADDITION <br /> ADDITION 0 COMMERCIAL <br /> ACCESSORY STRUCTURE❑ ' � <br /> STRUCTURE/ADDITION USE: ITAI"L.c��O /z)r'0. Q OCO rF d-O f I`„ <br /> I (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) W <br /> BUILDING CONTRACTOR: <br /> A < <br /> AP LOT PUN MUST BE PROW DED ON AN 8 Ya%11 STUFFY OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. <br /> n <br /> DIRECTIONS FOR PLOT PIAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW C7 2 <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). o .o <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 C. <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. <br /> 9. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES L _ <br /> TO BUILDINGS, ROADS,LAKE, LOT LINES. H� <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. l c ` (J) <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR,ETC.,THE / N s Yj <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. i ( 9D <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN J O <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: L I F 1 O <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. <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 1 r� <br /> SETBACK AREA. V <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. n <br /> NOT TO BE USED FOR HUMAN HABITATION. fS <br /> 6. O <br /> 7. „ p > nann > _ T <br /> Rn ,�^, 333n ds <br /> F .� 5 n . ' <br /> knowledge <br /> ttutth alief it is ion,corre(including complete. <br /> Iack owrledle)bat been reasonable fned by r edand tath and <br /> ac umy - e B 3 c ? v: <br /> Knowledge andbelief itistrue,mrreRn(i wmplMa. Iaccomp nyin Nate ul reasonable for ec Detail that <br /> accuracy of Mall y <br /> Information contained in this application(including any accompanying schetlule)and lNrther Declare[hatlreoo9nlie Nat this _ > o -o ; <br /> information l am providing will be reliad upon by the county of Burnett Wisconsin in determining whether to issue a permit a _ _ — _ 7 <br /> Further accept all liability that may W a result of the county of Burnett relying on Mis information I am providing in this <br /> application. Iagree to permit marry eMcials cbaryed with adyyri ting county ordinances orether authiriael person to Ov_ 9f <br /> have access to the above-tlesc"tie raises atany easo a kti for the purpose of inspection. <br /> OWNER'S SIGNATURE - <br /> (date) <br /> i <br /> ZONING ADMINISTRATOR <br /> cm <br /> TOWNSHIP PERMITS MAY BE REQUIRED '', c _ <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />