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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a z <br /> APPLICATION FOR LAND USE PERMITS G <br /> //�� ' ` J <br /> OWNER CI t(r (��J.K * &r)o, JO 0-t'� TELEPHONE a <br /> o � <br /> MAILING ADDRESSh/) <br /> PD &X a,3 /UQ(lJ 2ichnle , ( WL <br /> PROPERTY ADDRESS <br /> _-K) <br /> q <br /> 1J l a <br /> n O <br /> 0 <br /> LEGAL DESCRIPTION � 0 � <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK ❑ GARAGE/ACCESSORY STRUCTURE <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> STRUCTURE/ADDITION USE: Ale k <br /> (Home/Cabin; Commercial Business; Bedro k; tc.) <br /> BUILDING CONTRACTOR: O� <br /> n � <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yk X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS p o <br /> WILL BE RETURNED. — _ 1 <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) na <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. d <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB) AND ALL NEW <br /> BUILDINGS/STRUCTURES (NE), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, 3 <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) 0 0 <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 (DF), AND ALL DISTANCES <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. a <br /> 5. 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 N <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. 'o <br /> so <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN a <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> r <br /> d <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n C <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. d z <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. z <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER yl <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 /> 7. z � aaoro <br /> I declare that this application (including any accompanying schedule)has been examined by me and to the best of my 3 c ° " � p <br /> knowledge and belief it Is true,correct and complete. I acknowledge that i am responsible for the detail and accuracy of all 2 m J d, 2. a "' <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this c E. a a m a <br /> Information I am providing will be relied upon by the County of Burrett Wisconsin in determining whether to Issue a permit. I a c a= <br /> further accept all liability that may be a result of the County of Burrett relying on this Information I am providing In this ' 19 a�' �`-w n ro <br /> application. I agree to permit count offlclaI charged with administrating county ordinances or other authorized person to have <br /> access <br /> aess to the above-described pr a y reasons Ime r the purpose of Inspection. m = o g N <br /> Qn q ' 60o DOC F��I <br /> OWNER'S SIGNATURE �� (date) <br /> e o se d <br /> j 6 p <br /> ZONING ADMINISTRATOR J({m I�nl/,](n ,'g (�3 y F o <br /> TOWNSHIP PERMITS MAY BE REQUIRED C <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />