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e n z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator ii 3 <br /> APPLICATION FOR LAND USE PERMITS N - <br /> o <br /> OW NER1TPSh Ua, i ,) FYI TELEPHONE <br /> ( J d <br /> 0 <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS 6 ferjon <br /> (xC> (D <br /> LEGAL DESCRIPTION L n� I (cSIYI ` ' 1, Iylp _ p� DF NN 4y Of- Nukh .Sa T, 39, » <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLINGV ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE-0� <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT❑ , <br /> n <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> STRUCTURE/ADDITION USE: 6me, c <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) - (� <br /> BUILDING CONTRACTOR: n J <br /> O � <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Y2 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C o <br /> WILL BE RETURNED. <br /> 6 <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) M ^p <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m n n <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, e <br /> AND INDICATE NORTH (N). N. \ c <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 9 �\ <br /> (OHWM) OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. ty d <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD (DF),AND ALL DISTANCES q <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. v, W <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 <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. '1 0 1 M1I <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: r w <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 0 <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 /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. £ <br /> 6. <br /> ^ � 9000na '° <br /> 7. 3 n 3 S o <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 appliwHon(Including any accompanying schedule)and I further declare that I recognize that this �^ e.D 9 m N: <br /> Information I am providing will be relied upon by MYe County of Burnett Wisconsin In determining whether to Issue a permit. I .� ,"^, n w v > <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 '" H H iA o b <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have " n,°0p o g: 8 t.. <br /> access to Me above-describe h s at y reason time for Me purpose of inspection. m S�a W N A <br /> E 'iJ yg $oogy <br /> G n <br /> OWNER'S SIGNATURE o O o y y L m n,Qw+� 4 <br /> (da ) <br /> ZONING ADMINISTRATOR m IG '1 V <br /> TOWNSHIP PERMITS MAY BE REQUIRED A <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE N NN » p <br /> to U O O p O p <br />