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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator z <br /> APPLICATION FOR LAND USE PERMITS �. <br /> A 2 <br /> OWNER <br /> TELEPHONE / 5/ _ a34 _ <br /> MAILING ADDREj,,,,, t� � <br /> PROPERTY ADDRESS <br /> LA <br /> LEGAL DESCRIPTION / I^ P <br /> R:2, t- �. <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ' r STAIRS ❑ <br /> TYPE OF PERMIT(S): oo <br /> FILLING/GRADINNG 0 CAMPING UNIT ❑ BUNKHOUSE ❑ 59.692(1V)GAZE80 DECK ElT <br /> STRUCTURE/ADDITION USE: (�1w,0//t' (�C(- 3 z <br /> (Home/Cabs ; Commercial Business; Be�drro�om; Deck; etc.) o � <br /> BUILDING CONTRACTOR: Wet <br /> IC74Pr;3 /(/ <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8%X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS +f <br /> WILL BE RETURNED. <br /> I l <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. G <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, 1 <br /> AND INDICATE NORTH (N). "� P <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) QJ c <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK '—' cl� 0 <br /> (OHWM) OF LAKE, STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. 2 <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD (DF), AND ALL DISTANCES ;c 9 <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> F 0- <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. r) o <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE F !J <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> o (" <br /> 8 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN g <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: '� N <br /> n <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <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 /> 7y > > 'V <br /> C qq 6 <br /> 7. <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my knowledgeY�11 <br /> and belief It is true,con ect and complete. I acknowledge that I am responsible for the detail and accuracy of all information ^ e W a <br /> � <br /> contained In this application(Includingaan <br /> any apanying schedule)and I further declare et I recognize that Mg <br /> Is Information I '� 2 <br /> am providing will he relied upon by the County of Burnett Wisconsin In determining whether to issue a permit. I further accept <br /> liability that maybe a result of the County of Burnett relying on this Information I am providing In this application. I agree all <br /> n u c u U c <br /> permit county oflidals charged with administrating county ordinances or other authorized person to have access to the above- c m f1 <br /> described premises at any reasonable time far Me purpose of inspection. m w '_? <br /> Ed B o 6' .yi <br /> SIGN HE Li 1,07 <br /> (slgn re of owner <br /> �ofbuilldding contractor) ( ate S > <br /> ZONING ADMINISTRATOR {� f'is </CI n <br /> 1 <br /> TOWNSHIP PERMITS MAY BE REQUIRED V <br /> THIS PERMIT SHALL EXPIRE ONE YEA FROM DATE OF IS,S NC U o u N o <br /> k✓("ikVleak�' �ii7/0kbr�zI" r,fda"-r <br />