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00 C64 <br /> Burnett County 7410 Co.L,No.102.Simn,102,Simn,WI$472 Office of zoning Administrator 5•APPLFOR — LAND USE — PERMITS <br /> TO THE ZONING ADMINISTRdersigned hamby metras eppgcation for a Permit Im tits work dascribea aMlocated as shown herWn. Taw &grass urea all wak"W done in accordance with the requirements a theRumen County land Uhe ONiCoda.ens with eA aher appgcable CourRy Ordiances ens me laws antlregulations a the Suse a wtxe <br /> I � ' ^ ^OWNER WeTELEPHONE �.2S (nADDRESS oSo A glue r <br /> EMERGENCY/FIRE NUMBER ^ ROAD NAME er t LANI?- 1 T <br /> LEGAL DESCRIPTION Isea tax receipg A <br /> COMPACTOR <br /> TYPE OF PERMRiSI'. DWELLING/BUI ING GARAGE/AGCESSORY STRUCTURE ADDITION_ o <br /> 8 � <br /> SANITARYPRAY FILLIN <br /> G/GRADING CAMPING UNIT_ SUBDIVISION_ <br /> STRUCTURE/ADDTION USE: <br /> IN a/Cabih;C rn cisi9uainess:9ed,cam;0eck;ett) a 'o <br /> DIRECTIONS FOR PLOT PLANO WING: (Aerial or tap view) yl- <br /> 1. Show the location and size of all ezisting buildings(EB)and all new buildings(NB)and Indicate North(N). <br /> 2. Show the location of the well ,septic lank(ST),and dralnfleld(DF). ° <br /> G.Show,dimensions Integra athe ollowinq:(a)building to all la lines,(b)building to center line Or road.(c)building <br /> measurement to the ordinary gh water mark a lake,stream,or river. Q <br /> I n \ <br /> 4.M separate plane are submihe by an architect,engineer,builder,contractor,etc.,the pians must be signed and M0 N <br /> dated by the owner. Q R <br /> NOTE:BUILDINGRTRUOTURE LOU NS MUISr BE STAFOR UJSrrE VERIFICATION BEFORE A PERMIT CAN BE ISSUED. w o W <br /> PLOT P IN (1 P a <br /> A o I7 <br /> C I �1 <br /> I <br /> l F <br /> \/ O36 — <br /> 71Q0—�i <br /> V 4 g <br /> I� <br /> :L <br /> St64 oT U I \ <br /> 1 Lr�sc>�LA�e a <br /> CONDITIONS OF PERMIT: — B <br /> t. pRNEWAV MUST MEET DRI MAY WIDTH REQUIREMENTS WITHIN W DAYS OF PERMIT ISSUANCE. j jl M <br /> 2. REMOVAL OR CUTTING OF EES AND VEGETATION IS RESTRICTED ALONG SHORELINE. �i' �n pt <br /> d. NO GRADING OR SHO RELA D ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. : B p <br /> I dadere mat this applicalioa lint dine any accompanying schedule)has been sxaminea by me and 10 the Oeaz of my krgwb <br /> 9 <br /> eggs and belief it b true,Coma d cumDlate.I wkmwledga that l am responsible forthe detNl arW accuracy that <br /> Win infer ae3 <br /> ion contained In this eppliCallon including any accompanying a elf ulN and l lunh dadan that l fKdpnige lhet arab lnlp <br /> "Int I wo DroH4ing will he rel .,on by the Goumy of Burnett Wisconsin In daurmining whether to Issue•",mit'I Y <br /> further accept as Ilabpily which ry be a result of the County off Bums,rel,,,on this Intormtllon I am povlUing In true <br /> plication.I - <br /> to perm"COunt offtl.charged with adminlelehng county ominances Or other authorized pereon to haw Bi <br /> access to ve d•echbed P rale..N any reasonable time for tat purpose of INFeCtICR, $ <br /> thesprabo $` <br /> SIGN HERE f ) , <br /> $i ro of ow bull no domossion _ ? $ <br /> ZONING ADMINISTRATOR <br /> 3f R <br /> TOWNSHIP PERMITS MAY BE REQUIRED APR —T f'IEgg <br /> In 8 N <br /> �( Orli y-ti`I f <br /> 4,11 Oph <br />