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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator 3 � <br /> APPLICATION FOR LAND USE PERMITS = r <br /> .c G/'>n�wl-�°n�l '"`' L°�PQ'l"9s'?•385*-�.Yo3 <br /> OWNER /� TELEPHONE 4"2 - <br /> ?'Jfen.T�� .b. Lt�a•aQs xl'rvL.q Cl. !rl" — 51• GY- Y/Sd d . <br /> 3 P 9�Y .7aw'Li�Qire 91mJf A%IA# X yilat• rsarG - <br /> MAILING ADDRESS - - <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION <br /> TYPE OF PERMITS): SINGLE-FAMILY DWELLING D ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE IH <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS C FILLING/GRADING 0 CAMPING UNIT C <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE 0 <br /> STRUCTURE/ADDITION USE: <br /> (Home/Cabis; Commeroial Business; Bedroom; Deck;; etc.) a, , 1L'� Cie <br /> `. <br /> BUILDING CONTRACTOR: <br /> � �.c✓% y F•,;r.,:.0 �ate. = <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8%X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS x o_ <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) m G <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 (NS), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, J of <br /> AND INDICATE NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B)BUILDING(S) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. p x� <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK (ST)AND GRAINFIELD(DF), AND ALL DISTANCES _ <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. _ J <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PIANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE 17 Oo <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. p.� <br /> J <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEN y <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: N [b O <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n C7 <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. E m <br /> 3. NO GRADING OR SHOREIAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER Q� <br /> SETBACK AREA. p <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. 9 <br /> NOT TO BE USED FOR HUMAN HABITATION. �J <br /> 6. <br /> 7. P 0 <br /> gg33n m <br /> 1 declare <br /> knowledge <br /> that MIs application ,correct <br /> any complete. <br /> I ac scteiule)has been examines of r t and to Me best of my 3 0 ,� F F. 'v <br /> knfadm do and batten It Is true,correct ani complete. 1 ccm panyin that <br /> sch t am responsible for ed detail and accuracy at all v===A •i <br /> Inpro, don I amcontalmint <br /> providing <br /> di MIs it be ratlos uponby(including any County <br /> accompanying schedule)and 1 fuller dedare that 1 resue a prat MH <br /> further <br /> accept <br /> 1 am Drovliy t x111 a rNiei upon of Me County of Burnett Wisconsin ins Informatioar,n <br /> wtem pr ov ding i a permit. 1 — <br /> appli r accept all liability P flat may ty o result of rg County of Burnett relying county <br /> this ancesaor o 1 r providing In MIS <br /> acc ss ton. 1 agree ap same[county officials reason will time <br /> foapu musty ordmasces or other authorized perms to have 5 <br /> acres M Mestave-iewl0ei premises at any reasonable tlme for Me pumnse of InmeNon. c <br /> nzE>2o= oa .? <br /> OWNER'S SIGNATURE c ¢ 3 X v. -1O <br /> ZONING ADMINISTRATOR °i P T <br /> " � rim <br /> TOWNSHIP PERMITS MAY BE REQUIREDJUN 11 2014 <br /> THIS PERMIF SHALL EXPIRE ONE YEAR FROM DATE OF IS CE - - <br /> BURNETTCOU <br /> ZONING <br />