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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 a <br /> a <br /> OWNER L.fMQy TC-CfTELEPHONE 7/) -Ip7jJ /all <br /> MAILING ADDRESS 3 S I C O U"71� R Ao E SPOOM „ (,v S7Qd �i <br /> n <br /> PROPERTY ADDRESS , / <br /> LEGAL DESCRIPTION � " -T'owN ) 0n9 corn Co L, T 2.0/ Z. 4- `I o y \ <br /> 7�C 2(0 %owvfHrP f{D Noa7ti "6F A j„baY= I uBD,o o0 <br /> SWIliil GARAGE/ACCESSORY STRUCTURE Q DDITION TAIR517 R <br /> TYPE OF PERMIT(S): Y 9 b <br /> FILLING/GRADING Q CAMPING UNIT 0 BUNKHOUSE 0 59.692(1V)GAZEBO 0 n ` <br /> STRUCTURE/ADDITION USE: E GIC o <br /> (Home/Cabin; Comrhercial Business; Bedroom; Deck; etc.) a i. <br /> BUILDING CONTRACTOR: PH C-C P S f3 U r L 0eW S' �ty f�SIWZ fel/7-"' .�0 <br /> 4 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 1/2 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS G <br /> WILL BE RETURNED. <br /> o ( I <br /> DIRECIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) o. <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. OCJ <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (E8) AND ALL NEW <br /> BUILDINGS/STRUCTURES (NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, D <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 .LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSONS. o <br /> 4. SHOWMTHEFLOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD (D)I AND ALL DISTANCES ?. H ° <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. O° o Q. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. O <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 N ONSITE VERIFICATION MY BE DONE WHEN h ,C <br /> NEEDED. <br /> THIS PERMIT IS SUBIECr TO ALL CONDITIONS LISTED BELOW: C } <br /> r z <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. ' A .� <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. <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. ao � <br /> 7. 9 <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 of all Information v 0 2 a <br /> contained In this application(Including any accompanying schedule)and I further declare that I recognize that this Information I <br /> ept all P, B N y N N <br /> am providing will be relied upon by the County of Bumett Wisconsin in determining whether to issue a permit. I further acc <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 a Ci <br /> permit county officials charged with administrating county ordinances or other authorized person to have access W e above- m N N Y <br /> described premises at any reasonable ti for the purpose of inspection. —7 I i(p <br /> OWNER'S SIGNATURE (date) $°cw <br /> T �'m 9 C21 <br /> ZONING ADMINISTRATOR v � <br /> TOWNSHIP PERMITS MAY BE REQUIRED N $U N o <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />