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i <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Admirl�strator z <br /> APPLICATION FOLAND USE PERMITS a . <br /> 0 <br /> OWNER els r r TELEPHONEjs ��. ' <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS <br /> V�' J <br /> n <br /> LEGAL DESCRIPTION 7/0 , / /�L4-/ <br /> SINGLE FAMILY DWELLING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION S FA—IR—S0 o <br /> TYPE OF PERMIT(S): ^ <br /> FILLING/GRADING ❑ CAMPING UNI ❑ BUNKHOUSE ❑ 59.6692(1V)GAZEBBO ❑ D CK ❑ <br /> STRUCTURE/ADDITION USE: 65 4 rI.IL hovse I If..a✓f _e— GC r -/i l ID iI III(�t_° z <br /> (Home/Cabin; Commercial Busines ; Bedroom; Deck; etc.) d�,[ o ° <br /> BUILDING CONTRACTOR: <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Ya XIl SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLC T PLANS ., H v <br /> WILL BE RETURNED. x K <br /> b <br /> _< <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) C <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. I' O <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW ^-r <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DEC S, PORCHES AND OTHER STRUCTURES, m <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B) BUILDING(S) NI Obi r <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASU EMENT(S)TO THE ORDINARY HIGH WATER MARK I 3 <br /> (OHWM) OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. w <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD (DF), AND ALL Dis rANCES o <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. w' <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNEDAND SHOW AREAS TO BE GRADED OR FILLED. _ O <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARC 1ITECT, ENGINEER, BUILDER, CONTRACTOR, ET .,THE - Y� <br /> PLANS MUST BE SIGNED AND DATED BY THE I NER. - <br /> y <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DON WHEN �1J <br /> NEEDED. <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: 17 <br /> 1 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQU REMENTS WITHIN 60 DAYS OF PERMIT. r^r' z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATI N IS RESTRICTED ALONG SHORELINE. n <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. & <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATERv` <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAG ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. E <br /> 6. <br /> ir n u c X c f <br /> 7. n � 3FM g^ <br /> I declare that this application(Including any accompanying schedu e)has been examined by me and to the best of my kno oiledge <br /> and belief it Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all information -'- <br /> contained in this application(including any accompanying schedule)and I further declare that I recognize that this information IM ",7 <br /> am providing will be relied upon by the County of Burnett WisconsinIn determining whether to Issue a permit. I further a ept all v+- '^ <br /> liability that may be a result of the C unty of Burnett relying on thisinformation I am providing In this application. I agreeto n <br /> permit county officials charged with minlstrating county ordinances or other authorized person to have access to the ab e- e „� <br /> described premises at any reasonabl time for the purp se of sD ction. Y <br /> _ > <br /> OWNER'S SIGNAT3- 30 — <br /> Z <br /> / (date) <br /> ZONING ADMINISTRATOR <br /> C � a <br /> TOWNSHIP PERMITS AY BE REQUIRED w �' <br /> THIS PERMIT SHALL EXPIRE ONE EAR FROM DATE OF ISSUANCE <br /> h�rm (e-I'*/- o a� deo( - D WL l<oerper 3�-0� <br />