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Burnett County 7410 Co.Rd. K,No. 102,Siren,WI 54872 Office of Zoning Administrator v 0 Z <br /> APPLICATION FOR LAND USE PERMITS <br /> r <br /> OWNER 14,fjr� ` J&IIe/� TELEPHONE <br /> MAILING ADDRESS ?,/ <br /> PROPERTY ADDRESS l 13(o {?i C K 1a ro,1 <br /> � o , <br /> LEGAL DESCRIPTION(see tax receipt) Pc CrL y - 3/ /v/ Lot <br /> LP t m <br /> a <br /> DWELLING/BUILDING ❑ GARAGE ACCESSORY STRUCTUR ® ADDITION o` <br /> TYPE OF PERMIT(S): n <br /> FILLING/GRADING ❑ CAMPING UNIT 1-1SU�BD_IV`ISI�ON ❑ _I"! �'p �(�•TI 9 <br /> STRUCTURE/ADDITIONOSE: : <br /> 8/A — �� - T�tT/I I ��b[ < <br /> i P� o N <br /> (Home/Ca in; Commercial Business; Bedroom; Deck;etc.) � <br /> ' O1 . <br /> m <br /> BUILDING CONTRACTOR: <br /> m <br /> Z � <br /> v <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8'h X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. r <br /> c �1J <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) p o. tS� <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> m m <br /> NORTH(N). 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 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. g O <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. N C!u <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER,BUILDER,CONTRACTOR, ETC.,THE PLANS 0 L <br /> MUST BE SIGNED AND DATED BY THE OWNER. /rI <br /> � � p1l <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERT o vN <br /> NEEDED. it \ <br /> 1 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. oZ a. <br /> CONDITIONS OF PERMIT: v <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS O ERMITMAR 2 9 204 <br /> ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHOftYgNETT COUNTY o <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY ZONING <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. <br /> �m > vavv <br /> 6. CD W <br /> rn <br /> m 3 CLcD X = am <br /> o mC: yo <br /> 7. Z occ <br /> O -n �) <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my �m ` D <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of u, y, C <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize f CL m o E m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- ( <br /> sue a permit. I further accept all liability which may be a result of the County of Burnett relying on this information 1 am m <br /> providing in this app ication I agree o rmit unty officials charged with administering county ordinances or other <br /> authorized pars have ss to the ab v d cribed premises any reasonable time for the purpose of inspection. m <br /> n o : <br /> -a _o <br /> SIGN HERE CD <br /> (D E y E <br /> (signature owner or building contra tor) (date) n <br /> ZONING ADMINISTRATOR <br /> Mal leO pc)rmi4- N N N O O <br /> 1e TOWNSHIP PERMITS MAY BE REQUIRED a N o u+ (. o 6 <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> b 'Cann�.11 <br />