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C O <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g <br /> APPLICATION FOR LAND USE PERMITS y: <br /> c <br /> 0 <br /> OWNERTELEPHONEy <br /> �r4ek �7u�nsa.v Euzg�(e-,� I»�s�, � m <br /> MAILING ADDRESS <br /> /3dYS /cd ve. P�e /e� , /t'1�• �s�ay �� <br /> n <br /> PROPERTY ADDRESS i3O? <br /> LEGAL DESCRIPTION 5' <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING 0 ADDITION ❑ DECK 0 GARAGE/ACCESSORY STRUCTURE <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS ❑ FILLING/GRADING 0 CAMPING UNIT ❑ <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE 0 S' <br /> STRUCTURE/ADDITION USE: c <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: .57/CK 577a'7eS JL/—/O.t'L. '7/5 9/b- x933 <br /> /<D• '60X 4/;iv eo Z 0 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Vt X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o <br /> WILL BE RETURNED. 0 <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) �y <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 to b <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, p <br /> AND INDICATE NORTH (N). N o <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 <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. C <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST) AND DRAINFIELD (DF),AND ALL DISTANCES . 1 <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <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 7eQ� o <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. 701 <br /> l <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. E; <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. <br /> NPT TO BE USED FOR HUMAN ABITATI N. <br /> 6. WW Gar�e� ig-e- �03 e �©r grea�.r--CZ <br /> 7. �VI I 'i n� ����ir I�S�I_o rz 3 3 3 n .0i'yyfl <br /> I declare that this application(including an accompanyingschedule has been examined b me and to the best of m <br /> PP ( fl Y ) Y Y <br /> knowledge and belief it Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all : m <br /> information contained In this application (Including any accompanying schedule)and 1 further declare that I recognize that this " E. > m <br /> information I am providing will be roiled 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 <br /> application. I agree to permit county officials chaqged with administrating county SDikances or other authorized person to c) o: 88 r" <br /> have access to the above- scribed pr(eml at a y reasonable for the pu se o spe p � w N <br /> OWNER'S SIGNATURE 1 --- C� • i I ' <br /> N 6 <br /> (date) Z!y „ O <br /> Zr <br /> ZONING ADMINISTRATOR <br /> c trf <br /> TOWNSHIP PERMITS MAY BE REQUIRED c: '• <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />