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c � o <br /> A INN <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g <br /> APPLICATION FOR LAND USE PERMITS H y <br /> 65'/-720 711153'4 <br /> OWNER `T /—�1 �A-- d& <br /> I TELEPHONE 75/ Il/ <br /> MAILING ADDRESS 11 // 1 / V <br /> /L16 ? iql� I Cl ,r/Kl Ad,:ErJJdD 4 5Sl/p <br /> PROPERTY ADDRESS n`odL <br /> /U �1y �7 I <br /> LEGAL DESCRIPTION ��( I /�C i„� 1/ I (� �l v 1 <br /> TYPE OF PERF rr(S): SINGLE-FAMILY DWELLING 0 A/DDITION 0 oDCECK❑ GARAGE/ACCESSORY STRUCTURE ❑ _ y -7- <br /> BUNKHOUSE <br /> BUNKHOUSE 0 59.692(1V)GAZE5O 0 STAIRS 0 FILLING/GRADING CAMPING UNIT 0 <br /> v <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ A `� <br /> STRIICTURE/ADDITION USE: <br /> (Home/Cabin; m rcial Business; Bedroom; Deck; etc.) I ^ <br /> BUILDING CONTRACTOR: �/L'f n <br /> p 3 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8%X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS c <br /> WILL BE RETURNED. _ c <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. �, c <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(ES)AND ALL NEW ° <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, d v <br /> AND INDICATE NORTH (N). 'J c <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDINGS)TO ALL LOT LINES, (B)BUILDINGS) <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. d <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD (DF),AND ALL DISTANCES <br /> TO BUILDINGS, ROADS,LAKE, LOT LINES. `� w <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. -�-) <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE / e <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. 1 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN �` y <br /> NEEDED. A.1 <br /> THIS PERMIT IS SUBIECr TO ALL CONDITIONS LISTED BELOW: <br /> u`' m <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. O it <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. U) <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY <br /> NOT TO BE USED FOR HUMAN HABITATION. (`I :E <br /> 6. <br /> 7. gill Up <br /> �g �._ <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the beat of my o•2 <br /> knowledge and belle/it M true,correct and con*isie. I edmowledge that I am responsible for the detail and accuracy of all <br /> Information conhkred kr this application(I xwmg any accompanying schedule)and I furtirer declare that I recognize that this <br /> Information I am providing will be railed upon by the County of Burnett Wisconsin In determinkrg whether to issue a permit. I 'a i9p <br /> further accept all liability that may be a result of the County of Burned relying on this Information I am providing In this 9 M ti"`='N It <br /> application. I agree to permit county efficient tfiargod wr administrating county ordinances or otlrar authorized parson to have `0 a <br /> access to the above dasatbed promises M any roaso a for the purpose of Inspection. to s g g o 8 8 y <br /> OWNER'S SIGNATU / n g m r'N `"" x <br /> ZONING ADMINISTRATOR 4 2010 8 „ - M <br /> 2. m� <br /> WNSHIP PERMITS MAY BE REQUIRED ~ : : <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISStE7-r COU H N M H M H <br /> ZONING <br />