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N v Z <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS y' <br /> /'/�,�� 0. <br /> OWNER TELEPHONE d <br /> MAILING ADDRESS r� <br /> Gectoer Pofuct Wky , �eti+er(llle Mtv556�8 <br /> I <br /> PROPERTY ADDRESS1 <br /> 960 3 o <br /> LEGAL DESCRIPTION (� , V`Sm ' I'I � ° <br /> TY <br /> Ol l N <br /> PE aF PERMIr(s): SINGLE-FAMILY DWELLING <br /> Cl ADDITION ❑ DECKEI GARAGE/ACCESSORY STRUCTURE— `;. <br /> BUNKHOUSE O 59.692(1V)GAZEBO O STAIRS O FILLING/GRADING O CAMPING UNIT O $ <br /> COMMERCIAL BUILDING( I❑QQ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE❑ <br /> o_ <br /> STRUCTURE/ADDITION USE: /'1'AGt T L7r�XZ!!�Q _Z)Y R 4*rOOfn X le r c <br /> (Hom /Cabin;Commercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: �� n <br /> p 3 <br /> z c <br /> O ° <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'/z X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS � <br /> WILL BE RETURNED. c <br /> 7 a <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) m <br /> d <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 3 <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, ( .o <br /> AND INDICATE NORTH (N). Qw N <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) R. <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D) LOT DIMENSIONS. <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 /> 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 <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 WHENLAJ <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. m Z <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. C <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER Cj <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FORI,HUMAN HABITA�j O:N. ' (� <br /> 6. G•A./Y[NQ ST/I/'�!<.l't1.fC iW�t-1'Y—+'M,(1�1 �or HL-ft&n <br /> 7. / �/�" iGcrSG�/�L� ?r > o V <br /> n y 3 3 3 a n <br /> y 3 3 3 <br /> I declare that this application(including an accompanying ) y Z o o o 3 <br /> PP ( 9 Y panyin acknowledge <br /> le has been responsible <br /> b me and t the best of amy <br /> c <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 �. > > <br /> information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I m c > a Y <br /> further accept all liability that may be a result of the County of Burnett relying on this information I am providing in this q .`� 22 N <br /> application. I agree to permit county o s charged with administrating county ordinances or other authorized person to C) °= : o: o o r <br /> have access to the above-described p i at any reasonable time for the Purpose of inspection. c > : 6,s�w f7 <br /> OJ n yr w rJ w <br /> OWNER'S SIGNATURE - _ 3 o0 0 0 0 0 _j <br /> (date) <br /> nb9 D tDnp NRiO <br /> ZONING ADMINISTRATOR c: Via. F ,� <br /> 0 : H C, :s7 <br /> T NSHIP PERMIT AY BE REQUIRED <br /> = o : <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE S <br /> ~ d : w_, <br /> J N O U O <br /> t n t n O O O O O <br />