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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator P P <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNERTELEPHON a O <br /> �f'UC£ v/ JyPl (�J Nn2S7�LV�g1� <br /> MAILING ADDRESS .J <br /> O I-L 0 w l'l Ir 09 Au B Lly S¢43a 7 <br /> PROPERTY ADDRESS W <br /> CAN ` G <br /> LEGAL DESCRIPTION LOf <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING 0 ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE_ <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 <br /> o_ <br /> COMMERCIAL BUILDING COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ � <br /> STRUCTURE/ADDITION USE: 15�0 RA 6A-. `1 0 <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: Anu 17 e <br /> O � � <br /> A PLOT PLAN MUST BE PROVIDED:ON AN B Vi X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C o <br /> WILL BE RETURNED. <br /> a <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) � p <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 <br /> BUILDINGS/STRUCTURE$ (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, p <br /> AND INDICATE NORTH (11). N 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 is <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. p <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES q <br /> TO BUILDINGS, ROADS, KE, LOT LINES. v, <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 <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> i <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. p OI <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: �r 6 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. Z `� C <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. � A S C) <br /> 3. NO GRADING OR SHORE ND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE,(GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. C6 <br /> NOT TO BE USED FOR H MAN HABITATION. <br /> 6. <br /> 7. n >n o 0 o n>> O 'O 333 ,° & a <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my 3 0 ;, �^ `� S P w= <br /> knowledge and belief it Is true,comett and complete. I acknowledge that I am responsible for the detail and accuracy of all <br /> Information contained in this application(Including any accompanying schedule)and I further declare that I recognize that this " __. > > W N <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I ?w= b <br /> further accept all liability that may be a result of the County of Burnett relying on this Information 1 am providing In this <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have d .p 8 <br /> access to the above-described premises at any reasonable time for the pu se of Inspects n. �, p w r1 <br /> > g8o88 ,j <br /> OWNER'S SIGNATURE �h /�� Iv —3 0�l '- cy >o w rf z <br /> �I //.y�/� n (date) _._ g g y 3 <br /> ZONING ADMINISTRATOR �J i 1 I 1 <br /> � _ P <br /> TOWNSHIP PERMITS MAY BE REQUIRED � <br /> THIS PERMIT SMALL EXPIRE ONE YEAR FROM DATE, OF ISSUANCE <br /> rTkdl lUa/Strem b-3 i0 v �" 8 o o88 <br />