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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator 3 P <br /> APPLICATION FOR LAND USE PERMITS -_ - <br /> OWNER TELEPHONE - — <br /> 93) F]SIS3 - <br /> MAILING ADDRE S ` �//J K_x /�'l�� � <br /> PROPERTY ADDRESS � <br /> LEGAL DESCRIPTION <br /> TYPE OF PERMIT(5)'. SINGLE-FAMILY DWELLINGj� DECK GARAGE/ACCESSORY STRRUCTURE <br /> ADDITIO <br /> in <br /> BUNKHOUSE 59.692(1V)GAZEBO STAIRS FILLING/GRADING CAMPING UNIT <br /> COMMERCIAL BUILDING COMMERCIAL ADDITION COMMERCIAL ACCESSORY STRUCTURE 3 <br /> STRUCTURE/ADDITION USE: Cl K tCA COOW( t-�T" CTC J 4^— X <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) IIS <br /> BUILDING CONTRACTOR: _ S CI.C_Tl.e7"v— CK2, <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS a c <br /> WILL BE RETURNED. r <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) +i <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 3 <br /> BURDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, dDj <br /> AND INDICATE NORTH (N). J \ z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(5)TO ALL LOT LINES, (B) BUILDING(S) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK ,r <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. I <br /> 4, SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(OF), AND ALL DISTANCES A„1 <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. E. <br /> 5. INDICATE IF A WALKOUT BASEMENT 15 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. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN 4 h C7 <br /> NEEDED. (�-I <br /> THIS PERMIT 15 SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> Tz <br /> L DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT, pp, <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. C7 x <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALL5, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5— ACCESSORY STRUCTURE/GARAGEPERMITS ALLOW FOP. PR!'1ATC RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT <br /> /YITR7.E USED FOR HUMAN �/TA <br /> TION 6. "T"'7` as �GY/'d77wS T rbL <br /> t <br /> 7. <br /> 1 declare that this application(including . C 3 ^ ^ ql 5 A <br /> any accompanying I ac schedule)has been examined of r t and to the pest of my 9 <br /> knowledge and belief it is true,correct and complete. 1 acknowledge that 1 am responsible for the detail and accuse/of all L1/P <br /> Information contained in this application(Including any accompanying schedule)and I further declare that I recognize that this `--> > — <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit 1 Ora_ S <br /> — I <br /> further accept all liability that may be a result of the County of Burnett rely ng an this information 1 a p ,in9 in His - ,�' S <br /> application. I agree to permit county offals charged with andammus atng coun4y ordinances or other N ed person to have1— <br /> access to the above-descrped premises at any le time to a purpo of inspection. <br /> 8 w �i <br /> a c4c` olo <br /> 3a _ <br /> OWNER'S SIGNATURE_ y c w � <br /> � r <br /> ZONING ADMINISTRAT _ cN m <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> MAY 2 9 2014 0 = <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF IS NCE <br /> BURNETTCOU - <br /> y ZONING <br />