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Burnett County 7410 Co.Rd. K,No.102,Siren,WI 54872 Office of Zoning Administrator -0 0 Z <br /> APPLICATION FOR LAND USE PERMITS . <br /> r <br /> rn O 00 <br /> ovvrrER <br /> _ m <br /> MAILINGADDRESS _ 73 O>5_ ���G-(��L C(�j.}� rriv i ,S u7IL v <br /> PROPERTY ADDRESS ,Z ry hQt�1)Sj�� Qtfil�i LJ ` <br /> LEGAL DESCRIPTION(see tax receipt) CZ T1 cvJ 1 T q U IV, R Ito W , <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION -zi-U) <br /> TYPE OF PERMIT(S): o ' <br /> FILLING/GRADING 1:1CAMPING UNIT SUBDIVISION El CL <br /> STRUCTURE/ADDITION USE: C A B)RI /?�4 0 <br /> (Home/Cabin; Commercial B iness; Bedroom; Deck;etc.) En <br /> BUILDING CONTRACTOR: 42 <br /> E LF y <br /> v <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. 0 <br /> _M N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O a <br /> �tzy <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. A m :b <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m m <br /> NORTH(N). <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 Z <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO <br /> BUILDINGS,ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. N T <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE PLANS O <br /> MUST BE SIGNED AND DATED BY THE OWNER. 1 0 1 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE V MAYtBE MIIIIEN =r B <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. {.? q c <br /> CONDITIONS OF PERMIT: 2®04 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PEMITTIQ l Y <br /> ISSUANCE. ZONING <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY W <br /> PERMITTED. �( <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER v <br /> SETBA/C{ . 1. <br /> K AREA. <br /> l.. <br /> 2 W 0 (D CL F m <br /> 6. (D3 aOm OHIO m <br /> o N C y <br /> 7. Z inmo Opo <br /> m <br /> I declare that this application (including an accompanyingschedule has been examined b me and to the best of m <br /> PP ( 9 Y ) Y Y L7 <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of ? m ro- : L C <br /> all information contained in this application(including an accompanying ) g a O, • M <br /> pp ( g y panyin schedule and I further declare that I reco nize 1, m m o M <br /> that this information 1 am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- • ' `• <br /> sue a permit. 1 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 a as to permit county offlciais charged with administering county ordinances or other o <br /> CD En:person o have a e ab a described premises at any reasonable time for the purpose of inspection. m o <br /> SIGN HERE 3 <br /> :3 <br /> CL <br /> (signature of ow r building contra or) (date) i <br /> ZONING ADMINISTRATOR G <br /> O <br /> 'I V <br /> N�, N' 0 0 <br /> (rA� 3'l I TOWNSHIP PERMITS MAY BE REQUIRED a �N O o (n o 0 <br /> ( L� THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE (0"— d (3'502 <br /> X131 d �� -14 <br />