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Burnett County 7410 Co. Rd. K, No. 102, Siren,W154872 Office of Zoning Administrator - o 0 <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> r <br /> y� ¢ p y O <br /> OWNER R n <br /> TELEPHONE ��g66— �!g� v <br /> MAILINGADDRESS rf 6/�(� 6' b e,5 Q c O� <br /> „ CD <br /> 'r m <br /> PROPERTYADDRESS of7d 16 61� j, C5 Rd, 4 e65TeR 1 ! .SSt$g3 1 <br /> /�v 4 G <br /> LEGAL DESCRIPTION(see tax receipt) LOT to BLk 3 RUCKT KY t,bec K5 Sub of pcyri.5 L.HKc , <br /> DWELLING/BUILDING 1:1GARAGE/ACCESSORY STRUCTUREI ADDITION ❑ <br /> o �a <br /> TYPE OF PERMIT(S): UJ 0 �{ <br /> FILLING/GRAhDINNG )❑Q,!CAMPING UNIT 1-1ElSUBDIVISION a <br /> STRUCTURE/ADDITIONQSE: 4CA/�G Gniw Jd C-Q u/PlhUJT .5-W-fi tjG o <br /> (Home/Cabin; Commercial Business; Bedroom; Deck;etc.) C/) <br /> ° <br /> BUILDING CONTRACTOR: !� Lu 104 c/Z � � Ph, <br /> v <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR (D <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. T 3 <br /> o <br /> DIRECTIONS FOR PLOT PLAN DRAWING' (AERIAL OR TOP VIEW) 0 O (� <br /> n o <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. T Z <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE t7 m <br /> m <br /> NORTH(N). CFzz n <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO CO) 3 <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF 'a <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),AN ALL DISTANCES TO o <br /> BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRAD L <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, C NS <br /> MUST BE SIGNED AND DATED BY THE OWNER. o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERId ATION ftBE DONE WH j <br /> o (ZS <br /> NEEDED. A <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. eU&/Vie . 7 <br /> CONDITIONS OF PERMIT: 20 / C (J o <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT V 'Y / <br /> ISSUANCE. O <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY U'� <br /> PERMITTED. <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER n <br /> SETBACK AREA. L �j��, <br /> 5. ST�U a-To lhee 7� �`J f tS�/d M/'+- 0114 '� D F <br /> 6. This structure to be used as private residential m d 0'o c' m <br /> B ' o Lo <br /> 7. garage/storage only. Not to be used for human a c N X 0 3 <br /> habitation. Z y ° <br /> o T� ;a <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my — VD ID <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of mv+ % <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize (D o m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- �' fD <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 �: d ' <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other m <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection. <br /> m rn <br /> CD o : <br /> SIGN HERE m <br /> (sl ur of o or ilding contractor) s d <br /> ate) : n : <br /> ZONING ADMINISTRATOR <br /> t7 6A EA fA d/�N <br /> N 01 N N O O <br /> a�` ,� cnocn cnOo <br /> TOWNSHIP PERMITS MAY BE REQUIRED (E7 <br />