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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator 4 <br /> APPLICATION FOR LAND USE PERMITS �) <br /> n <br /> OWNER J/ erravcQ A �f'I C,�SON .TELEPHONE <br /> MAILING ADDRESS V, <br /> an�f�5 Ol�l �t� 35, ljebs4er wr �v8y3 I <br /> PROPERTY ADDRESS 01t <br /> LEGAL DESCRIPTION Pr+ SLJE � N (,tI o2R �, T3�N^21� W a LZ <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE 0 v: <br /> BUNKHOUSE 0 59.692(IV)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 d <br /> J, <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE 0 a <br /> STRUCTURE/ADDITION USE: OMS 7O A-(.tom" ed 1 Gm-e Z <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> c <br /> (� <br /> BUILDING CONTRACTOR: S e I�-- <br /> n <br /> Q � I <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 1/2 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS c <br /> WILL BE RETURNED. — <br /> �n <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) r <br /> / 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. c <br /> �C 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, J <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) 8 �z <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK Q <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. m <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD (DF), AND ALL DISTANCES K OQ <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. �_ r <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. C7 <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. 0 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN '3 O <br /> NEEDED. <br /> CO <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> a O <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 (N G <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. F <br /> 7. � ? ^ o oCd ? tin <br /> it n n333ry _a `n <br /> [declare that this belief <br /> It Is true, <br /> (Inducting any accompanying schedule)has been examined by me and to the best of my 3 0,7 7,B <br /> knowledge and belle(I[tt true,Correa and complete. [acknowledge that I am responsible for the detall and accuracy of all a <br /> information contained In this application(including any accompanying schedule)and I further dedare that I recognize that this ° > > o ti <br /> Information I am providing will be relied upon by the County of Bumett Wisconsin In determining whether to Issue a permit. I �, = i <br /> further accept all liability that may be a result of the Co% of Bume relying an this Information I am providing In this z U,w 5 =;C w <br /> application. I agree to permit mum officials charged wl admin) ng county ordinances or other authorized person to have ^ o : =8 [" <br /> access to the above-described pre es a[any reasonable me for urpose of Inspectlon. c 2 m w <br /> 3 n� y'� $'1�'08H <br /> OWNER' IGNATUR_Lalk = 10 <br /> n > = <br /> (date) <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERMITS MAY BE REQUIRED a <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE o N ^ <br />