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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator -U G) z <br /> APPLICATION FOR LAND USE PERMITS 3. o <br /> r <br /> OWNER /mac.-SCS M c C�aW —1M W(ti.rC� �C�GSSTELEPHONE �p51-41150 <br /> MAILING ADDRESS <br /> 3 ZZ U�, , `l 1S—! <br /> 'SA. t✓ .�..�. G awe , M�..SSo-7(j. f <br /> l � 0 <br /> PROPERTY ADDRESS «.)J A4L'T �J l.�$o.� R J� C�� C/�C ` } SC, �� 6 <br /> LEGAL DESCRIPTION(see tax receipt) L61-- i CSI-1 V5 T I U 1 6 ryJ .� Cd I$gd is Q��, -11156/31-7 `Jcy <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ADDITION ❑ (n <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ n <br /> STRUCTURE/ADDITION USE: (* <br /> Ger c - VQ►'iGll?erZ v) <br /> 0 <br /> ome/Cabin; Commercial Business; Bedroom; Deck; etc.) (n v l <br /> m () <br /> BUILDING CONTRACTOR: 431- a hc5 U, <br /> 3 <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. �ie � 0 y C� <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) f// O m l <br /> n n <br /> � z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n \O A <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 /> C _ <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 ` I Z <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. o <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. `O <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. N <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE PLANS 0 <br /> MUST BE SIGNED AND DATED BY THE OWNER. <br /> ' o <br /> o � <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN ° (!J <br /> NEEDED. n (/ <br /> II <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. z Q <br /> CONDITIONS OF PERMIT: ° I Qj <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT p <br /> ISSUANCE. ;t C> <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. ,\,1�L`�' <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATFR <br /> SETBACK AREA. <br /> 5. This structure to be used as private residential <br /> garage/storage only. Not to be used for human X ou d >o n f m <br /> 6. <br /> habitation. 0 3 a a a <br /> o m C y <br /> 7. z cv' mo <br /> -n m <br /> I declare that this application (mcludin a� eoue/ as ween exammea oy me ana to the nest of my E E - - <br /> [ AO c <br /> N <br /> knowledge and belief it is true,correct and complete. 1 acknowledge that I am responsible for the detail and accuracy of C <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m C m <br /> CD <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- ti: (n : C <br /> L7 <br /> sue a permit. I further accept all liability which m 0 <br /> may be a result of the County of Burnett relying on this information I am � w , o : <br /> providing in this application. I agree to permit county officials charged with adm' . er j <br /> authorized person to have access to the above described premis s at any reaso t o u o f a <br /> -n <br /> CD Q <br /> SIGN HERE <br /> e» a <br /> (sig ure o owner or b 'din contract r) .� <br /> MAY °M5 f � <br /> ZONING ADMINISTRATOR I <br /> BURNETT COUNTY rJ N <br /> TOWNSHIP PERMITS MAY BE REQUIRED ZONING <br /> THIS PERMIT SHALL PI ONE Y�A�2�ROA(I DACE OF ISSI�AN m�tg <br /> 0�(� tt1 J Q��(� `l1j'7/ 117(�� 1�Li' `l nlGc GL/PJ�CCtSS SS`1.L� <br />