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C n O <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g <br /> APPLICATION FOR LAND USE PERMITS ; h <br /> s <br /> � n <br /> OWNER AAA �,1e� TELEPHONE <br /> MAILING ADDRESSGL/ InA) , <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION o \J <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK ❑ GARAGE/ACCESSORY STRUCTURE ❑ <br /> BUNKHOUSE ❑ 59.692(iV)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT O <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ s' <br /> STRUCTURE DDI7I $USE: �' < - - - �- c <br /> -_ (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) '� <br /> BUILDING CONTRACTOR: Uj <br /> n p <br /> O � ~ <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o_ <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) m p <br /> ,i 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C1 <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW M 3 <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, p <br /> AND INDICATE NORTH (N). <br /> v 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B) BUILDING(S) °� <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK w' a <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. C7 S. <br /> : <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF), AND ALL DISTANCES 9 G <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. S v, f <br /> .8' 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 o <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. `� 5 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. O, <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 /> ,7C REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. W O <br /> d'. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> A NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> b ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> Do 0 0 ¢O `d <br /> 7. <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my 3 0,°2 R R.R? w' <br /> knowledge and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all n m F, `=P a <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this $ c > c o N <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing In this c w N » r <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have 8 <br /> access to the above-described premises at any reasonable time for the purpose of Inspection, w $pp g w,pp, f'I <br /> / m 6 0 0 0 8 <br /> OWNER'S SIGNATURE �!� !� � ,�tl LeJ o C56. _W OO 0 <br /> ZONING ADMINISTRATOR U n M <br /> n c: �LM <br /> TOWNSHIP PERMITS MAY BE REQUIRED G w <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE — — <br /> to In 0000p <br /> �errr)� a l of ler �,�cI�ed up b� r' ✓�Ka(jsl�7e� U ��� <br />