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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a z <br /> APPLICATION FOR LAND USE PERMITS <br /> N <br /> O '^ <br /> OWNERCwTQL /TELEPHONE �� <br /> L27 <br /> r0 <br /> MAILING&Rrr <br /> l <br /> PROPERTY ADDRESS 17 <br /> LEGAL DESCRIPTION SVt)11q NW�,/ a�O -3�] _�• / o <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK ❑ GARAGE/ACCESSORY STRUCTURE v� <br /> e <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT Cl <br /> A <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ Iz <br /> c <br /> STRUCTURE/ADDITION USE: a_ -e— c <br /> (Home/Cabin; Commer hal Business; Bedroom; Deck; etc ) / <br /> BUILDING CONTRACTOR: e% r\C,r ZLc�l `L ,7L rc( _ r C d--,N <br /> n 'r <br /> O <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Vk X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o <br /> WILL BE RETURNED. <br /> " <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) enn <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 rm w 3 <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). Z W <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDINGS) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S) TO THE ORDINARY HIGH WATER MARK S, Stell SV <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 S 'C <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. S. y <br /> 5. 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 RJ <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. G <br /> 1 � � <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. �z W <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: r f\ O <br /> c <br /> r- C <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n Z 0 <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. 7' p <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. I z C <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 7. ,9i o a o N n O yb <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 1 am responsible for the detail and accuracy of all a m o d R a y <br /> Information contained in this application(Including any accompanying schedule)and I further declare that I recognize that this <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to Issue a permit. I <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing in this -N <br /> application. I agree to permitcounty officials charged wit Inistrtheating county ordinances or other authorized person to have ^ n ' o o <br /> access to Me above-described pre s at any reaso a e time purpose of Inspection. / m W N n <br /> OWNER'S SIGNATURE ef//C W ~'� UX V a <br /> (date) o ao � w Od = z <br /> ../i/I 'rl <br /> ZONING ADMINISTRATOR /Y\ (fI I(al 17 (J�0 : °c w' _ o [r7 <br /> Iw ' t+7 <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> v � 00000 <br />