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c ro o <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a <br /> APPLICATION FOR LAND USE PERMITS H <br /> :3 <br /> n <br /> OWNER <�✓,�l_ .d. vks hadIn V IQ,d TELEPHONE a' a <br /> (j/ ! o <br /> MAILING ADDRESS oV�vn <br /> PROPERTY ADDRESS <br /> iV n 1 /�/Ge � Ise <br /> y' fl. !� o ` A <br /> LEGAL DESCRIPTION <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING 0 ADDITION 0 DECK GARAGE/ACCESSORY STRUCTURE ❑ -�.1 4 <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 • <br /> COMMERCIAL BUILDING 0 C,OMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE EI 0 <br /> STRUCTURE/ADDITION USE: <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) t� <br /> BUILDING CONTRACTOR: <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 rh X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS a d <br /> WILL BE RETURNED. <br /> n <br /> c <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) rq p <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 m •O "' ° <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, G p a <br /> AND INDICATE NORTH (N). <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(S)TO THE ORDINARY HIGH WATER MARK 5 <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 C> <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. t <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. W <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC., THE O <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. r " <br /> r vV <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: ffO^ r •� <br /> vl F <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <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. �. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. O <br /> NOT TO BE USED FOR HUMAN HABITATION. D <br /> 6. ' <br /> > nnnn > o 0 <br /> 7. ° R 3 3 3 $ a [i7 <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 1y w d = <br /> Information contained in this application(including any accompanying schedule)and I further declare that I recognize that this a `- > > m N <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin in deterrnlning whether to Issue a permit. I •°e ,°°, a w'J �d <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing in this <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have " ,-�, S o0 0 o o ,- <br /> access to the above-described premises at any reasonable time <br /> �for <br /> Fhe p/uurrr/]pose of Inspection. <br /> OWNER'S SIGNATURE <br /> (date) <br /> ZONING ADMINISTRATOR Ra 10 °c a Fc 9wd35 oxy- <br /> o^ R7 <br /> TOWNSHIP PERMITS MAY BE REQUIRED A C' <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE o N o <br /> b grz �fL'harljmrd� <<111 <br /> ✓m� + ieFler pICked"P y <br />