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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator z <br /> APPLICATION FOR LAND USE PERMITS �. <br /> OWNER CTELEPHONE ep; �r�gss� -z(s- ct4z— a9ti7 � <br /> MAILING ADDRESS l 34 '2go t4% Cfltee�t' 'U2tSScz (nJt Snoop ' a <br /> l <br /> PROPERTY ADDRESS <br /> A 74 83 Carl, Q S) J <br /> LEGAL DESCRIPTION o <br /> 59c- 96 TK R.e,t IG ''l s6f LA - <br /> IWE i IWG �G GARAGE CC SSORY STRUCTURE ABBFFle*- STAIRS 0 <br /> TYPE OF PERMIT(S): 1061. t} <br /> FILLING/GRADING CAMPING UNIT BUNKHOUSE 59.692(1V)GAZEBO DECK y <br /> STRUCTURE/ADDITION USE: lay la STbill i a ( C <br /> (Home/Cabin;;CommerciM Business; Bedroom; Deck; etc.) Q /PP <br /> BUILDING CONTRACTOR: 4 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'h X11 SHEET OF,PAPER, ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. O� S <br /> DIRECTIONS FOR PLOT PLAN 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 - c <br /> BUILDINGS/STRUCTURES (NO), INCLUDING DECKS,''PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). t <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDINGS) J r7 <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM) OF LAKE, STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS, <br /> 4, SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD (DF), AND ALL DISTANCES E. P <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. 60 <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. rC o G <br /> C IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE g, l <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. !3 N <br /> � � I <br /> NOTE; BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN O <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> N <br /> i z <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETAT'ION'IS RESTRICTED ALONG SHORELINE. n <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. t <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WTniIN THE REQUIRED WATER W <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGEONLY, <br /> NOT TO BE USED FOR HUMAN HABITATION. F <br /> 6. <br /> 7. � . <br /> 8 <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my knowledge <br /> and beW K Is true,correct and complete. I admowledge that I am responsible for the detail and accuracy of all Information <br /> cmteared In this appiicatbn(including any accompanying schedule)and I further declare brat I recognize that this information IP y <br /> 11 <br /> am prWldng will be relied upon by Me County of Burnett Wisconsin in determining whether to Issue a permit. I further accept all a ,+`= 00liability that may be a result of the County of Burnett relying on this Information I am providing In this application. I agree to <br /> mn <br /> pedt caaity officials charged with administrating county ordinances or other authorized person to have access to Me above- o' <br /> described premises a any reasonable time for the purpose of Inspection. c 7 y y <br /> SIGN HERE e4j' 7 o a <br /> (sigiftilreof owner or buljldinq contractor) ( te) <br /> ZONING ADMINISTRATOR_ F1 I.1r n 1 <br /> TOWNSHIP PERMITS MAY BE REQUIRED c H .+ <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE 8 o <br /> (nai led 4n ba(-q VQrl� s!d-� C,-5-0n <br />