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n Z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a '3 <br /> APPLICATION FOR LAND USE PERMITS <br /> u g <br /> O '^ <br /> ( n 6 <br /> OWNER 121an E LJar)lC e- i ed Pe—fdf TELEPHONE 7/`�F/�_ 7�� � � <br /> / J J / / O <br /> MAILING ADDRESS of r(//n %l� kare <br /> oC:ITL' K �� '�ah6ucJ <br /> Cp\ <br /> PROPERTY ADDRESS c <br /> �g�aa bC; Ikar� K0 <br /> LEGAL DESCRIPTION <br /> L�� � esrn � � 9d lel-yv- is s <br /> TYPE OF PERMIT(S): <br /> SINGLE FAMILY DWELLING ❑ GARAGEYACCESSORY STRUCTURE D ADDITIONY STAIRS ❑ <br /> gyp^, <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ DECK❑ <br /> r IJ <br /> STRUCTURE/ADDITION USE: rn I w _ C- ,i- ..c..rkOO <br /> (Home/Cabin; Commercial Busines ; Bedroom; Deck; etc.) <br /> 0 <br /> BUILDING CONTRACTOR: n '&_ vo v'l a r)e #CJ <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 V2 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS O 3 <br /> WILL BE RETURNED. o <br /> O — <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) a <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, 'O 4 <br /> AND INDICATE NORTH (N). .o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B) BUILDING(S) Z <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK c O <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. 2. <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES p <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 <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. <br /> H <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: I�Iry[' <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. Q 91 <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. m <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. z ` O� <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 /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my knowledge o >m R D o <br /> and belief It Is true,oorrect and complete. I acknowledge that I am responsible for the detail and accuracy of all Information ^ 9 >- <br /> contained in this application(Including any accompanying schedule)and I further declare that I recognize that this information I N x ' N <br /> ga <br /> am providing will be relled upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I further accept all n 'Z a <br /> liability that may be a result of the County of Burnett relying on this Information I am providing In this application. I agree to <br /> permit county officials charged with administrating county ordinances or other authorized person to have access to the above- $ - D <br /> described premises at any reasonable time for the Durpose of i �tlon. <br /> OWNER'S SIGNATURE <br /> (date) Z — e <br /> ZONING ADMINISTRATOR n Z <br /> TOWNSHIP PE ITS MAY BE REQUIRED Z a <br /> CHIS E IT SHALL EXPI ONE YEAR FROM DATE OF ISSUANCE g ' <br /> (P�f ,� a� lep( fllCtYtN( p( o„ <br /> e ow <br />