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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administra or Z <br /> APPLICATION FOR LAND USE PERMITS 9 <br /> N <br /> � C <br /> OWNER TELEPHONE <br /> A,,, <br /> K d <br /> r/O J I S U 6-'771/0 <br /> O <br /> ,o <br /> MAILING ADDRESS <br /> c.5V j31jq0c 1 101 -1'rr✓l" a✓ ✓- G/l you F <br /> I � <br /> A <br /> PROPERTY ADDRESS <br /> a � <br /> LEGAL DESCRIPTION <br /> !�J <br /> SINGLE FAMILY DWELLING GARAGE/ACCESSORY STRUCTUR DITION STAIR! r' Qf <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING CAMPING UNIT BUNKHOUSE 59.692(1V)GAZEBO DECK <br /> STRUCTURE/ADDITION USE: ha�• -r. Z <br /> ome/Cab*''- <br /> in; Commercial Business; Bedroom; Deck; etc.) Io <br /> BUILDING CONTRACTOR: f p.cn✓,.l 13& r 6rq.c C�b.sj2YC'�oi✓ }--�p® <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 %X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PU NS ri <br /> WILL BE RETURNED. p <br /> O V <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) 2 )� <br /> 6 <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 a <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, tM 'q <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B) BUILDIN (S) 1 n <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK ,a <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. N y <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD (DF),AND ALL DISTAN ES } <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. �? o <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,T E E <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. 2 <br /> y <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WH <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <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. n I� <br /> 3. NO GRADING OR SHORELAND 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 ON Y. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. �d <br /> 7. <br /> ii �nm c1a£ C%1 <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my Imowletl <br /> and belief It Is true,cortect and complete. I aclmowledge that 1 am responsible for the detail and accuracy of all Information e <br /> contained in this application(Including any accompanying schedule)and 1 further declare that 1 recognize that this Information 1 <br /> am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I further accept II m N ;; ^' <br /> liability that may be a result of the County of Burelyingett relying on this information 1 am providing In this application. I agree to �^8 `^ 8 t" <br /> permit county officials charged with administrating county ordinances or other authorized person to have access to the above- o <br /> described premises at any reesana'We time for purpose of Inspection. r w V y <br /> OWNER'S SIGNATURE <br /> ZONING ADMINISTRATOR V 1 'Jan <br /> TOWNSHIP PERMITS MAY BE REQUIRED I� -)R 10 20 <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE Ofr ISSUAN <br /> G� COUN <br /> N O U O <br /> BURNtZONING <br />