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9 0 ZONXNG F'at?'Ll 02
<br /> is Irntstt crAiniV,f 4 10 Ci, PA. K,No. 102,Siren,Wl 54872 Office of Zoning Administrator
<br /> Aj'1lP9jC.'AT1ON 'FOR LAND USE PERMITS
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<br /> GARAGWACCESSORYSTRUCTURSE] ADDITIONE] .0
<br /> ,.,M�,NGUNT 7 U,DV,,,,N
<br /> Business;Bedroom;Deck;etc.) Q.,
<br /> l':,01 PI.A74 Mlr I 114 195 1.1 ()hl,\TT 4EA3*AN fiv.,x 11 SHEET OF PAPER. ANY INCOMPLETE OR
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<br /> !F;. (AERIAL OR TOP VIcwwi 0
<br /> Ali R!4)UIV.F IT OK 1316YANCES TO BE SHOWN OR DRAWN TO SCALE_
<br /> T;140W'7T NI,I"
<br /> Atfl),'AZ64 OF ALL OUSTING BUILDINGS(00)AND ALL NEW BUILDINGS(1,113)AND 114DICATF m t
<br /> NOR 144(q)� c-
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<br /> I"1'rE:T'CIF THE FOLLOWING: (A)BUILD)MG(S)TO ALL LOT LINES,(B)BUILDING(S)TO m E j n 11
<br /> I NT r FIJIII (N-FOAV, 11I RIM DING(r)MCASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF
<br /> I AK;.,, 3IFF a .It I 0'J.W011LV ArIV N FA SURFNEN�11 TO WETLAND AREAS- :F
<br /> 1;14�'Apf v I In 11,f),�Xi K)N or V dV'.V411.(W),SEP FIC YANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO
<br /> ,mir nlw,: , JAhc�:,1.0f 1.!WS I rz,
<br /> Fl OICA'IF: fr A N1 al Ptf)IJ[ fPVWM"JTI3 PLANNED AND SHOW AREAS TO BE GRADED OR FILLED.
<br /> sUmAiTTIED BY AN ARcNrrECT,ENGINEER,BUILDER,CONTRACTOR.ETC.,THE FLAN<
<br /> 1jr,NV Vy,'fti.k$Dy THF OWNER, ca
<br /> I.OCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DOME WHEN
<br /> G-XJDI1 IONS LISTED BELOW.
<br /> V(:W5 Y VVIDTH REQUIREMENTS WITHIN 00 DAYS OF PVRMrr
<br /> Oq CQT rjNi.. rFs4 j,.jqO VE(sEIATION IS RESTRICTED ALONG SHORELINE. It
<br /> 00 f-JillZA1416-,If, F.79ATIONS ARE ALLOWED UNLESS SPECIFICALLY
<br /> ..tA)I 11, 1,
<br /> WAQ,S,ETC.,ALLOWED WITHIN THE REQUIRED WATER
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<br /> t r, ale lhat
<br /> 1,-la0W)t1I1Qn (MCOW.1110 ally accompanying schedule)has been examined by me and to the best of rry In vz
<br /> ri,r vlodge and b0hif It In frop,ocfreqt;%n4 complete. I acknowledge that 12m responsible for the distan and accuracy of
<br /> II Olormatior,o I
<br /> '01111arlo'll In,this applll�nuovl(including any accompanying schedule)and I furthor declare that I recognize Im
<br /> , ,:it this i0brInllivis I il,"pruvIll(rip will be milod upon by the County of Burnett Wisconsin In determining whether to Is-
<br /> v, :a permit. I fwvw, ,w�qpt all P4,bilsty v4i[4h spay boa result 101 the County of Burnett relying on this Information I am
<br /> 1. k6jlng IV chin oprdic:Iflotl. 1 .19mo fo permit ebu
<br /> PAY Officials Charge*Wlth administering county ordinances or other
<br /> .11" 'Cized pors, haul olxqs Oftalffs;tribed pounfluss at Will reasonable time for the purpose of Inspection. a m ff I
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<br /> I ✓ o:rJswfR din];cor) (date)
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<br /> 1,%NG ADMINIf.,I RATOR
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<br /> TOWNSHIPPERW8 MAY BE REQUIRED
<br /> rwit-i farr"N" c'HALL FXPIRE ONE YEAR FROM DAT—
<br /> S80 148019 R1003 90011 6 AM
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