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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a <br /> APPLICATION FOR LAND USE PERMITS U <br /> E <br /> OWNE / � //�/J r(/,/ TELEPHONE / �/ . 7/ �j(—) O <br /> MAILING ADDRESS <br /> PROPERTY ADDRESSQ <br /> /` o <br /> LEGAL DESCRIPTION /Sn) V. <br /> V I �� r' <br /> ( V l o <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING L1ADDITI N 13 DECK ElGARAGE/ACCESSORY STRUCTURES <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT ❑ <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDIT ON ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> STRUCTURE/ADDITION USE: L-!✓id//✓ C�(itAW� u'vr�e E441'I (IrL.�'l o e <br /> (Home/Cabin; Commercia usiness; Bed om; Deck; etc.)" I}}r— <br /> BUILDING CONTRACTOR: S� /C7- "7 <br /> n ^ <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Vt X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C o _ <br /> WILL BE RETURNED. <br /> 0 4 <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) rn <br /> n <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. � l <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, a <br /> AND INDICATE NORTH (N). N z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK 5 <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. p <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST) AND DRAINFIELD (DF), AND ALL DISTANCES q SUI <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. ;n <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. �•i <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 AN ONSITE VERIFICATION MY BE DONE WHEN 1 i <br /> NEEDED. <br /> 1 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: r <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. r; z a <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. z <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. <br /> 7. F > o 0 o v > p b <br /> I declare that this application(including any accompanying schedule has been examined by me and to the best of my <br /> knowledge and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this o F. > > m N <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin In detem fining whether to Issue a permit. I a c , '. ', 9y <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing In this a '� o ;,,N S N t <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have <br /> access to the above-describe se akre"asonbletime for the purpose of Inspection. <br /> > ooa 000 ' <br /> OWNER'S SIGNATURE d, > <br /> 17112 <br /> C 6 V=+ S 7 TJ <br /> ZONING ADMINISTRATOR ,', w' ' <br /> In <br /> n C a is <br /> TOWNSHIP PERMITS MAYBE REQUIREDAPR 2 3 2010 <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE O DANCE N N o U <br /> Zeol�Trn�hy3� rd� R zcounmroNiNGo 0 0 o <br />