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Z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g ) <br /> APPLICATION FOR LAND USE PERMITS N <br /> � c <br /> OWNER C L-1 TELEPHONE 74 3-Vf�`7'�"—P 3 <br /> o <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS = 1 <br /> L-7 i o <br /> LEGAL DESCRIPTION o <br /> cT" <br /> TYPE OF PERMTT(S): SINGLE-FAMILY DWELLING ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE 0 N <br /> (� <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS O FILLING/GRADING ❑ CAMPING UNIT ❑ � <br /> �o <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURED r" <br /> 0 <br /> STRUCTURE/ADDITION USE: L N c <br /> ( <br /> Nome/,C.�a jin;; Cmmej I Bu/sJ'ness; [jr om;l�Deck; etc.) t� <br /> BUILDING CONTRACTOR: /D/ G 4 FJ <br /> C C� <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Vi X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS c_ _ <br /> WILL BE RETURNED. i 3 <br /> a J <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AR1AL OR TOP VIEW) <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 <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, p <br /> AND INDICATE NORTH (N). �, o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDINGS) o <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. p /� <br /> 4. SHOW THE LOCATION OF THE WELL (W), SEPTIC TANK (ST)AND DRAINFIELD (DF),AND ALL DISTANCES a <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. v, <br /> S. 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 <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. (� o .� <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: O <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n z J <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 L <br /> SETBACK AREA. J <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 7. f l L/ W' l V O' a n o 0 o C1 D O S <br /> xz � � 33g ��. 3 <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 w m m R.rn <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this E > a m ;°., Y <br /> Information I am providing will be relled upon by the County of Burnett Wisconsin in detem Ining whether to Issue a permit. I c ; a E:— <br /> further <br /> =further accept all liability that may be a result of the County of Burnett relying on this informatlon I am providing In this Q o b <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have '° c) o 8 c r <br /> access to the above-described premises at any onabie time r the purpose of Inspection. ° <br /> 3 '71m j <br />