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z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g ° <br /> APPLICATION FOR LAND USE PERMITS n�\( <br /> e e <br /> OWNERTELEPHONE a n <br /> (chac� g h��e yjn i,nJeSef '7/S�G3S- 83olC a o <br /> MAILING ADDRESS (C v <br /> r) Al'load Pr uu.L tiV�O/ , <br /> PROPERTY ADDRESS _ / <br /> /73� QnCon �(o /QG2c`� SDOn/7Pr 6e)T .5-gSo/ o ' <br /> LEGAL DESCRIPTION , o Q <br /> .,7 iij ski Sec{;.aK T-yo Al-e /YW 1 r Gols /3, (-fon tqL fK 4d An. <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK ❑ GARAGE/ACCESSORY STRUCTURE ❑ <br /> BUNKHOUSE ❑ 59.6 2(1V)GAZEBO X STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ 4 <br /> (14' <br /> COMMERCIAL BUILDING COMMERCIAL ADDITION O COMMERCIAL ACC SSDRY STRUCTURE ❑ .°r. <br /> STRUCTURE/ADDITION USE: 66('-z-e� <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) S <br /> BUILDING CONTRACTOR: n <br /> v, o <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C o <br /> ur <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAT ING: (ARIAL OR TOP VIEW) O <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. d <br /> 2. SHOW THE LOCATION Ah D SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW t " 3 <br /> BUILDINGS/STRUCTURE (N8), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, a <br /> AND INDICATE NORTH (IN). N o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDINGS) $ <br /> TO CENTERLINE OF ROA (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK w' <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 -- q <br /> TO BUILDINGS, ROADS, KE, LOT LINES. w <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. a XJ o <br /> NOTE: BUILDING/STRUCTURE LtPCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN Q) J <br /> NEEDED. /_ <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: r b Q)' <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n z <br /> 2. REMOVAL OR CUTTING O TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. P„ <br /> 3. NO GRADING OR SHORE ND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER 0 <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTUREj GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HU MAN HABITATION. <br /> 6. <br /> 7. Do 0 o gng aD o 'S7 <br /> $° n y333garv � <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 ind complete. I acknowledge that I am responsible for the detail and accuracy of all <br /> Information contained In this applicatlo (Including any accompanying schedule)and I further declare that I recognize that this " °-a a m <br /> Information I am providing will be relle upon b the County of Burnett Wisconsin In determining whether to Issue a permit. 1 a" ?d= <br /> P 9 result <br /> Y ty 9 g � w < . 7 <br /> further accept all liability that may be resuR of the County of Burnett relying on this information I am providing In this <br /> application. I agree to permit county o ficials charged with administrating county ordinances or other authorized person to have n w o N8: 8 8 r <br /> access to the above-described pramisei at any reas sable time for rpose of ection. a <br /> /j��/� ngoogg � <br /> OWNER'S SIGNATUREI -✓' �ol- �Zf�1--- ✓-71Gi,i te/_dI+ �r RnI�'IA�A' �"lr2e�Y5l�/n o7bV�0/D�se� nnf; <br /> 6� <br /> O <br /> (date) a .-y�// FlW �"IQw ! °o MZONING ADMINISTRATORTOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE Z <br /> s <br /> 5 a�io <br />