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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator 4 7 <br /> APPLICATION FOR LAND USE PERMITS W <br /> - r W <br /> OWNER TELEPHONE <br /> MAILING ADDRESS .. <br /> PROPERTY ADDRESS <br /> '34a(, <br /> LJ cyn L-n ke e �1 <br /> LE LDESCRIPTION E AILEWEL DDI <br /> KGARAGE/ACDRY STRUCTURE <br /> ❑TYPE OF PERMIT(S): SINGLE-FS c ! <br /> a <br /> v <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ J <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> STRUCTURE/ADDITION USE: c <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) W <br /> BUILDING CONTRACTOR: d �� <br /> to <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 rh X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS I c <br /> WILL BE RETURNED. - — <br /> r <br /> r c <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, T I . �� 5 <br /> AND INDICATE NORTH (N). ! (,�y <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 ,n IO <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 (� <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 1 <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 /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. - <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: „� \ ' O <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. r Z id X-v <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. �� O <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER I^ i <br /> SETBACK AREA. <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. o 0 o n y F b <br /> 3 3 3 • c n :r1 <br /> I declare that this application(including an accompanyingschedule has been examined b me and to the best of m <br /> PP ( 9 Y ) Y y <br /> knowledge and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all o. Y E_ E <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this > � <br /> G <br /> Information I am providing will be relied upon by the County of Bumett Wisconsin In determining whether to Issue a permit. I .'3. � p c- <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing In this <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorlud person to have v o G$ r <br /> access to the above-described premis at a reasonable time for the purpose of Inspection. H R d a — <br /> //ry1 � '' <br /> OWNER'S SIGNATURE_� /LL e Al ( i its (O�""�� - <br /> (date) nq <br /> =v_ <br /> ZONING ADMINISTRATOR _ �.l r 1 r I —1 Ql�tGi al's '� 5 ` 5 N =n Y7 <br /> TOWNSHIP PERMITS MAY BE REQUIRED 3 n <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE c'� N w ^ <br /> e✓rh f 1,o4-tel-m(-M 4n eE cbr2-y-ruc}z6>1 (o 9 0 s o o n <br />