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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 aj <br /> 1111 <br /> TELEPHONE <br /> MAILING ADDRESS 1.5-g AP <br /> DD <br /> PROPERTY ADDRESS �1 ?S,7 'V `� �✓ �p�� y7 / ®3��•P'� �� � <br /> ! <br /> n <br /> LEGAL DESCRIPTION C A-1 D Ao7- <br /> 1 C5.— v« I?Z73 AdT C <br /> SINGLE FAMILY DWELLING ® GARAGE/ACCESSORY STRUCTURE [I ADDITION ❑ STAIRS ❑ o <br /> TYPE OF PERMIT(S): � 'f <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ DECK ❑ <br /> STRUCTURE/ADDITION USE: &00+ <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) ,or, <br /> BUILDING CONTRACTOR: S �� vfO '7o .� <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C �' <br /> WILL BE RETURNED. Cr- <br /> C� <br /> C o_ <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <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 B ILDINGS/STRUCTURES (EB)AND ALL NEW <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, m w <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) n <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASURE ENT(S)TO THE ORDINARY HIGH WATER MARK rrJ, R <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLANE AREAS, AND (D) LOT DIMENSIONS. <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TA 4K(ST)AND DRAINFIELD (DF),AND ALL DISTANCES <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. w' O <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AN D SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHIT CT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE a <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNEI 6, <br /> H � <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKE SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> r I <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIRE11ENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. n RJ <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 OR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. O <br /> NOT TO BE USED FOR HUMAN HABITATION. f <br /> ac�mOD �a <br /> 7. is Fn t+1 <br /> 99 Hwy '. ? w <br /> 1 declare that this application(Including any accompanying schedule)I as been examined by me and to the best of my knowledge 2 m !r y <br /> and belief It Is true,correct and complete. I acknowledge that I am re ponslble for the detail and accuracy of all Information o ? <br /> contained In this application(Including any accoye <br /> le)a d 1 further declare that I recognize that this Information I d <br /> am providingwill be relied upon b the County Burnett sin In determiningwhether to Issue a permit. 1 further accept all <br /> liability that may be a result of the my of Buthis Information I am providing In this application. I agree to <br /> permit county ofFlcials charged wi a ministratfance r other authorized person to have access to the above- c ;, n <br /> described premises at any reason time for tspe I n. c� c1OWNER'S SIGRE �'f+ ' -Al © ( <br /> m <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERMITS MAY BE REQUIRED ; G� <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />