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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 g '� <br /> OWNERr , ^�( I,�� SS TELEPHONE <br /> W 1[( k la 4{ <br /> MAIL)NG ADDRESS A 54 i v�� L_.a� lea <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION , ✓' I S aIXJ) <br /> DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE❑ ADDITION ❑ STAIRS ❑ S B. <br /> TYPE OF PERMIT(S): I^ <br /> FILLING/GR <br /> ��A <br /> }}D <br /> --IN <br /> UG O CAMPING `UNIT❑ BUNKHOUSE 13 59.692(lV)GAZEBO ❑ DECK ❑ <br /> STRUCTURE/ADDITION USE: 4T f 3 A v ( t�pI d/10-1 (ASS r"lay� v' <br /> 3 <br /> (Home/Cabin, Commercial Business; Bedroom; Deck; etc.) <br /> —T— e <br /> BUILDING CONTRACTOR: 1 wT'A/t — <br /> r v <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Va X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS r J� <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) 0 S <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, 0 Cr <br /> AND INDICATE NORTH (N). ,y <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B) BUILDING(S) n <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM) OF LAKE, STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. Y o <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES r a C o <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. Pr <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE G E <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. w <br /> i� <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFI <br /> NEEDED. CATION MY BE DONE WHEN <br /> ,n <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW; <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. ? <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. 3 3 <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABI }TION. <br /> 6. 62 DZZ At 6, � <br /> 7. 'nn C �^ t�7+1 <br /> 7 3a- 1 2 � 3 <br /> I declare that that appllotlen unawkig any accompanying Khedule)has been enamkrod by me and to the best of my knowledge C z y�SO : 'O <br /> and belief It is true,correct and complete. I acknowledge that 1 am responsible for the detail aha accuracy of all Information it <br /> contained In that aPPllutlon(Including any accompanying schedule)aha 1 further <br /> sin <br /> this declare that I recognize that Mat information i Eam Providing will be aged upon by Me County edeterminingwhether to kanth permit. I further Kliabilityt may bee result M Courtly of Burned relying <br /> ly ng onInormati I am providing M this b . I ageto oild�it county Officials dNrye1d with administrating county ordinances or other authorized <br /> pOn m have scam to the above-am bed premhea, nawnabletkne for the purpose of rbpectbn. oo <br /> ° <br /> S� n <br /> SIGN HERE �iMn/ �' � -'� ' '�` j E I2 <br /> ( of ow building contractor) (da a) Z ' e g > <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERMITS MAY BE REQUIRRED <br /> THIS ERMIT SHALL EXPIRE ONE YEAR FROM DATF6 UNTY <br /> N 8NNo <br /> -PUMT�- v, <br />