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e b Z <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator g <br /> APPLICATION FOR LAND USE PERMITS Q;-k I H <br /> 1 i 11PS I —255 11�'1 W � a <br /> TELE(®5Ei-LLS� <br /> T Z R 0 <br /> MAILING ADDRESS (� � m <br /> `Tle10 �K111101." k1A t - ZMACLOV9 {�T1�7 Jr5nb— n <br /> 1Q3b <br /> PROPERTY ADDRES <br /> LEGAL DESCRIPTION <br /> SZ0< -t-391V 'R.►8W hLbbo'of E b6nl FK. Nrr NF s <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING❑ ADDITION ❑ DECKGA� RAGE/ACCESSORY STRUCTURE) <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS❑ FILLING/GRADING 11CAMPING UNIT 13 ��. <br /> b <br /> COMMERCIAL BUILDING ❑ OMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE❑ S <br /> STRUCTURE/ADDITION USE: ���C3OI c <br /> (Home/Cabin;Commercial Business; m; Deck;etc.) <br /> BUILDING CONTRACTOR: <br /> 10n <br /> C <br /> A PLOT PLAN RUST BE PROVIDED ON AN B Yz X11 SHEET OF PAPER. ANY INCSMPIUETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) O <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, b <br /> AND INDICATE NORTH(N). z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES,(B) BUILDING(S) 0 <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK w <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. ty <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. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE o I <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. i <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: <br /> m <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. m <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. ti <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 ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. E <br /> 7. c 0 0 0 t c E <br /> z ' IIIjEt <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my knowledge <br /> and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy D <br /> p edge po acy of all information <br /> contained in this application(including any accompanying schedule)and I further declare that I recognize that this information I .� = o > m r`D, <br /> am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I further accept all 7 <br /> liability that may be a result of the County of Burnett relying on this information I am providing in this application. I agree to n in N: n oN <br /> permit county ofadals charged with administrating county ordinances or other authorized person to ha g <br /> described premises at any 90nable time for a purpose of inspection.. - 1, � s d r3 w r,^i w r <br /> U � a8go88 > <br /> OWNER'S SIGNATURE '> & m 6 = L <br /> 14AY. 1 2008 7 5. <br /> ZONING ADMINISTRATOR <br /> `J BURNETT COUNT) <br /> TOWNSHIP PERMITS MAY BE REQUIRED ZONING <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> v. ,n800c8 <br />