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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administri for o <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER Rte` �J�( 2 1 �(< I� TELEPHONE <br /> F— <br /> qK <br /> MAILING ADDRESS )( K1Vlo STVK1� ' N <br /> 23 <br /> PROPERTY ADDRESS 5 q-7 dd <br /> O <br /> P-6 A J <br /> LEGAL DESCRIPTION <br /> SINGLE FAMILY DWELLING 0 GARAGE/ACCESSORY STRUCTUR ADDITION 0 STAN S ❑ o <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING 0 CAMPINGIT 0 BUNKHOUSE 0 59.692(1V)GAZEBO 0 DECK 0 <br /> STRUCTURE/ADDITION USE: e- USia sm Z <br /> (Home/Cabin; C mme75e- tF <br /> IBusine ss; Bedroom; Deck; etc.) o P <br /> BUILDING CONTRACTOR: 'JZ)kA/ -7 VCE -- <br /> A PLOT PLAN MUST BE PROVIDED ON AN 81h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS n <br /> WILL BE RETURNED. O '3 <br /> A < <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) C c <br /> 6 <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. O <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB) AND ALL NEW A <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, m 'a <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDIN (S) n <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK 3 <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. N 9 <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK (ST) AND DRAINFIELD (DF),AND ALL DISTANCES �, o <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. S��n.) 01 <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. d L I c <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC., I HE _ <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> H <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. Z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. n <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 O LY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> ^ pyDnm09 7b <br /> 7. W9 cw c H <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my knowledge B ,„ 5i : j y <br /> and belief It is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all Information c <br /> contained In this application(including any accompanying schedule and I further declare that I recognize that this information I w <br /> am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I further accept all n 'd <br /> liability that may be a result of the County of Burnett relying on this Information I am providing in this application. I agree to �„o v. 1 8 tb. <br /> permit county officials charged with administrating Wunty ordinances or other authorized person to have access to the above- 6 '4 n <br /> described premises at any reaso le time for the rpos of in Ion. N c = y <br /> ♦ ro � rt 7 = 3 <br /> OWNER'S SIGNATURE ;; S a n <br /> ( c 6pn ; ac y 5 `i7 <br /> lve <br /> R <br /> ZONING ADMINISTRATOR ViQC4o t�7 <br /> TOWNSHIP PERMITS MAY BE REQUIRED JUN 8 20OF <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE SN w S o <br /> BdR&T COu 14 TY <br /> ZONING <br />