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Burnett County 7410 Co. Rd.K, No. 102, Siren,WI 54872 Office of Zoning Administrator _ o 0 <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> r <br /> N O <br /> C <br /> OWNER 1 C14 AR 17 4A)D45PL TELEPHONE 7I ',S- -7 2 3 -7 8/ n <br /> MAILING ADDRESS 737 ,QViS?, CN/Pi°EcciA �AtLS <br /> PROPERTY ADDRESS 3172 / <br /> Rt V C�R SlDE ���r/F� �qN g�Ry W.T S'YP?d oq <br /> 397/.�SS '14f3 '2 <br /> LEGAL DESCRIPTION(see tax receipt) ACRES' 30 - IS - 7��. 01800 <br /> ce <br /> m <br /> Lp <br /> DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE ADDITION ❑ o' <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ c <br /> STRUCTUREADDMON USE: C j4A f)G U7RY 'I)O d RbeCK1 �ye {x < <br /> 0' <br /> (Home/Cabin;Commercial Business;Bedroom; Deck;etc.) <br /> BUILDING CONTRACTOR: SEL F <br /> v <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. T - <br /> O <br /> .Z1 N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O `m <br /> T a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. Z <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m 9 A <br /> NORTH(N). <br /> m <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m 3 <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF v <br /> LAKE, STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. Z <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO O <br /> BUILDINGS, ROADS, LAKE, LOT LINES. cC <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FI o <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDE T <br /> MUST BE SIGNED AND DATED BY THE OWNER. H g <br /> t� v uz Ujo <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VE CATION MAY BE DON HEN o .� <br /> NEEDED. <br /> JUL 51 � <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Z <br /> CONDITIONS OF PERMIT: BURNETT p <br /> COUNTM <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ZONING <br /> ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. , <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY q <br /> PERMITTED. a <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> ru C N y 0 3 <br /> 7. Z fn O O 10 <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my - p <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of m co in C <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize o o m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- <br /> sue a permit. I further accept all liability which may be a result of the County of Burnett relying on this information I am m <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection. <br /> m rn <br /> m <br /> oCD . <br /> SIGN HERE (/.1 <br /> 1- 30 - 63 iu <br /> (signature wner or building c ntractor) o <br /> (date) <br /> ZONING ADMINISTRATOR <br /> En EA N <br /> q�q <br /> TOWNSHIP PERMITS MAY BE REQUIRED �� <br />