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z <br /> Bumett County 7410 County Road K, No. 102, Siren, WI 54072 Office of Zoning Administrator g <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER ^lj / • A�� ^ Ir TELEPHONE ��� <br /> /� <br /> n 6" <br /> MAILING ADDRESS /]Q 2O / �,, �j H a n bur, u 5 41 ) <br /> �J l <br /> PROPERTY ADDRESS :50 ;fn/) p I <br /> CA / K C <br /> LEGAL DESCRIPTION 1/y <br /> � o <br /> nE LuKP_� h)md5 i n AJC /yc Fin q <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING 0 ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE C (� <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT❑ <br /> ro (n <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> STRUCTURE/ADDITION USE: c <br /> (Home/Cabin; Cornmercial Business; Bedroom; Deck; etc.) �- <br /> BUILDING CONTRACTOR: 5e <br /> n <br /> O <br /> A PLOT PIAN MUST BE PROVIDED ON AN 8 Yz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PUNS <br /> WILL BE RETURNED. <br /> e � <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. C w <br /> 2. SHOW.THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW trait w `% 9 <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, o <br /> AND INDICATE NORTH (N). N Z <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(5)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM)Of LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. t7 <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 <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. _ 3 J <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> O <br /> THIS PERMIT IS SUBIECTTO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n Z O <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. <br /> 7, n y0a �noG�a � ro <br /> Fr K 3330'^�� rye <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 E. w d E. E <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this v E. D 9 W <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. 1 5 <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing in this v »N``^N `0 <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have <br /> access to the above-described premises at any reasonable time for the purpose of Inspection. Ww0 w'tiA sw4 e)y <br /> OWNER'S SIGNATURE (::)n <br /> (date) <br /> .ZONING ADMINISTRATOR LJDr I J nui Lvcn r <br /> TOWNSHIP PERMITS MAY BE REQUIRED ' <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> Ptrnc+- +le� aIo( a up byJ"�_ 6o�y�� <br />