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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g 3 <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER �n �J� / TELEPHONE323 - o <br /> _ O <br /> MAILING ADDRESS <br /> 7(O ^ _ T�_ <br /> PROPERTY ADDRESS a79G-J Is;" �J / A I_� Flo <br /> _ 1 / 0 1 <br /> � /GG !( OL t/FFK 1` UUr--!lIJJJ��� p <br /> LEGAL DESCRIPTION�� q������(� �.5+ / �O/V I 1� ° ll� <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ AD ION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE J�.. <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT ❑ I °i <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION -0 COMMERCIAL ACCESSORY STRUCTURE 0 0 3 6— <br /> STRUCTURE/ADDITION USE: <br /> (Home/CabinTCom�mercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: 1 (Ce <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 1f2 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS _ <br /> O <br /> WILL BE RETURNED. <br /> A <br /> � a <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) C O <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> n <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW Q 3 <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). Z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) -(Z_:) <br /> $ P <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK 52..) w 6 <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. O <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST) AND DRAINFIELD (DF), AND ALL DISTANCES t N <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. i <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE ^ 1 l.� 9 I n <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 <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n Z <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. I I <br /> ONLY. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. 5eveer. )le✓. To rs.w.:, ea a sores kf&4 m( . .Sae ,Qncr�w <br /> za0000a° m <br /> 7• = 77 <br /> y zoA3 . 0 <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my d ? R. P• ' w <br /> knowledge and belief It is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all m> > m N : a <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this .o n„ n a_._ <br /> Information I am providing will be relled upon by the County of Burnett Wisconsin in determining whether to Issue a permit. I g N P w b <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing in this or <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have o w <br /> access to the above-described premises at any reasonable time for the purpose of inspection. Eto <br /> d m y o _ <br /> OWNER'S SIGNATURE D n d' a <br /> (dat <br /> ZONING ADMINISTRATOR <br /> B wc <br /> TOW SHIP PE ITS MAY BE REQUIRED NAV <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE S <br /> BURNETr <br /> ZONING <br />