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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS =: <br /> OWNER �4^A G,,t,hS TELEPHONE 61z FOi -p175- <br /> y <br /> MAILING ADDRESS �yoZ EO <br /> /4S4 / 80 5'i S+. C��x F Ilse <br /> PROPERTY ADDRESS 2 o6'45 S.,Sc:!" ls�..A.L-.y Uh T/ulaJYcl LJS �YY3? � o l <br /> LEGAL DESCRIPTION L L TT.r�s, 1 „ d�'� Z(I��ske 37111, 4,),1tW <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING C ADDITION 0 DECK-A GARAGE/ACCESSORY STRUCTURE C <br /> BUNKHOUSE 0 59.692(1V)GAZEBO C STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 j <br /> z <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE O <br /> STRUCTURE/ADDITION USE: IIiU� z <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etC.) <br /> BUILDING CONTRACTOR: w.�ner <br /> s <br /> r < <br /> A PLOT PLAN MUST BE PROVIDED ON AN B 1hX11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PUNS a o _ <br /> WILL BE RETURNED. <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 — <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, CD o <br /> AND INDICATE NORTH (N). L o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) Q <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK dj B I <br /> (OHWM)OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. _t_ p O <br /> 4. SHOW THE LOCATION OFTHE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD(DF), AND ALL DISTANCES p <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. W - <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC., THE J yam/ o <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION My BE DONE WHEN / y <br /> NEEDED. IT ��JOrn� <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. 1 ' i QJ <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. �C'- E a <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. rn <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER l I° <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. $ <br /> 7. z7lnns'o Q . <br /> � 2 'w^ nnna c � <br /> [dMare Mat Mb appllmtion(Including any accompanying schedule)has been emminetl by me and to Me best N my 3 0 , inn.a. <br /> knowledge and belief k is true,coned,and complete. 1 acknowledge that I am responslbie for Me detall and acwracy of all m d m P <br /> Infomladon oantalned In MIs application(Including aM accompanying schedule)and I further declare Mat 1 redognlze Mat MIs <br /> Information I am providing will be relied upon by Me County of Burnet Wisconsin In determining whether to issue a perms. I - c w <br /> Ni Mer accept all(lability Mat may be a,esut of Me County of Bumett mNlW on MIs Infonnatian 1 am providing In Mt <br /> application. I agree m permit countyoff ials OaMg wFM admtnH Ung wuntyoMinanras or oMer authorted person m have ^ 0 8 o H c <br /> access W Me above-daaolbed p eelses at any rmaonable time for Me purpose of Inspection. <br /> _ 3 slw �g�o8 <br /> OWNER'S SIGNAIiIRE un > g c O <br /> ZONING ADMINISTRATOR_ <br /> 4' <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> uu3oa <br />