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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a \n o <br /> APPLICATION FOR LAND USE PERMITS C� <br /> OWNER �� TELEPHONE / a <br /> I �c� \J i �Z' L ^ 7/5 8r6�f Ll ?3 o <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS / <br /> SG WtP Q 5 CC FC�I/ L o <br /> LEGAL DESCRIPTION c <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING O AITION O DE K O GARAGE/ACCESSORY STRUCTURE 9 � <br /> 3 <br /> BUNKHOUSEEI 59.692(1V)GAZEBO O STAIRS O FILLING/GRADING O CAMPING UNIT O <br /> A <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> STRUCTURE/ADDITION USE: G °�. -2. "�O� c c \� <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: - <br /> rn <br /> O � <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 rf! X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o_ <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) m <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 3 <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, C?. 1 a <br /> AND INDICATE NORTH (N). J N (j Z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDINGS) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK w5 C�j <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. l C7 <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST) AND DRAINFIELD (DF), AND ALL DISTANCES SU <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. Q.l <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE 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 <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDIlTONS LISTED BELOW: � r <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. Z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. h <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. C� <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER C) /, <br /> SETBACK AREA. W <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. �Arur. O 4i/fnO, J .a, c c c a d <br /> tc <br /> I declare that this application(including an accompanyingschedule has been examined b me and to the best of m <br /> ( g Y ) Y Y <br /> knowledge and belle(It Is true,Correa and complete. I acknowledge that I am responsible for the detail and accuracy of all d m =d 'm <br /> Information contained in this application(Including any accompanying schedule)and 1 further declare that I recognize that this c E. D 9 m <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to Issue a permit. I V <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing In this c s,in? `_-N b <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have ° n.°2 <br /> access to the above-described preml s at any reason le bme for the purpose of inspection. m d o U c o a <br /> D000000 y <br /> OWNER'S SIGNATURE a�l� m � <br /> ^ 6 H <br /> n � ao. � <br /> ) <br /> ZONING ADMINISTRATOR n <br /> TOWNSHIP PERMITS MAY BE REQUIREAPR 1 2012 <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE SSUANC N o o <br /> SURNETTCOUN7Y <br /> ZONING <br />