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N � z <br /> c � o <br /> Burnett County 7410 County Road K,No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> TELEPHONE7/ ri// p Q) <br /> (JCJ O ULq / O <br /> MAILING ADDRESES S 2—i , d C fj2,<- <br /> � <br /> W C <br /> PROPERTY ADDRESS � p <br /> 0 <br /> LEGAL DESCRIPTION o <br /> w <br /> TYPE of PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK❑ GARAGE/ACCESSORY STRUCTUREW R <br /> BUNKHOUSE❑ 59.692(1V)GAZEBO❑ STAIRS❑ FILLING/GRADING ❑ CAMPING UNIT❑ K <br /> COMMERCIAL BUILDING ❑ � <br /> n COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ S '�.("G <br /> STRUCTURE/ADDITION USE: 6&v& o <br /> o in; ommeraa Business; room; ;e . (� <br /> BUILDING CONTRACTOR: <br /> O 3 SPO <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 rh X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS O <br /> WILL BE RETURNED. <br /> A a <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> O <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW ooM� c <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, p l <br /> AND INDICATE NORTH(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(5)TO THE ORDINARY HIGH WATER MARK SO 0° _ <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 y Cr- <br /> TO BUILDINGS,ROADS, LAKE,LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. p <br /> H <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR,ETC.,THE � a <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. W �, <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: �' w <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. O n Z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. a <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. fJ <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. ,� et` <br /> NOT TO BE USED FOR HUMAN HABITATION. W � <br /> 6• pWly(d MU,5i /ltLEt I0�5i(Izq, d st+biGICDfI S(nCe oln�TPr' cc(Sa bWf�a��pni y <br /> pprce-1 , -AlelCavi be 601A seporkk/y unl25SQsubdlp"is 'on pervwrF isIssr�d <br /> _Iolvlcv (4 E IDL Itni b� fh[ �ly .rh. C ( Nevelt sZ ' 8g ; ° aoro <br /> — 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 application(inducting any accompanying schedule)and I further declare that I recognize that this ^' 5. > > c <br /> information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to Issue a permit. I �- a 'a <br /> further accept all liability that may be a result of the County of Burnett relying on this information I am providing in this 'moo ! y «+N *0 <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to C1 ^' : g g r" <br /> have access to the above-described pr 'ses atayxeas nable time for the purpose of inspection. o d > <br /> OWNER'S SIGNATURE / 9 g y <br /> ----�� date rt a c <br /> �JI✓� Flanl / �v > <br /> ( ) <br /> ZONING ADMINISTRATOR <br /> e w o O Cil <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE g <br /> (Iced ur btu 6-6-(-LI 7k, I g o 0 0 <br />