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c� <br /> Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator v C) Zo <br /> APPLICATION FOR LAND USE PERMITS . <br /> y <br /> OWNER TELEPHONE; ih!4Y <br /> MAILINGADDRESS <br /> Lh t/ter ts..h�� f-'r.► '�-P In /Z '" �j�. 'D O <br /> PROPERTYADDRESS !� 11JJ���-�VV�O <br /> I <br /> LEGAL DESCRIPTION(see tax receipt) 51:7 TL/C1 ' C y <br /> ISL 0' <br /> DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE ADDITION ❑ (n - — <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING G UNIT ❑ SUBDIVISION ❑ �`-YG'� T��J 4C�VQCY� a <br /> STRUCTURE/ADDITION USE: ��( ;j nQ(J ' � T o <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) � ti <br /> BUILDING CONTRACTOR. <br /> 5� m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8'/:X 11 SHEET OF PAPER. ANY INCOMPLETE OR N3 ^(.' <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. _^ <br /> O <br /> A c <br /> DIRECTIONS FOR PLOT PLAN DRAWING, (AERIAL OR TOP VIEW) O m <br /> 'n o <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN 01 .QRAWN TO SCALE. [^ n A <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(,EVdt AND ALL NEW BUILDINGS(gnAAND INDICATE m <br /> NORTH(N). �.J C O <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO in m DB <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF <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 I <br /> BUILDINGS,ROADS, LAKE,LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. N <br /> S. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR, ETC.,THE PLANS 1 0 <br /> MUST BE SIGNED AND DATED BY THE OWNER. o <br /> o <br /> NOTE: BUILDINGISTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN Q <br /> NEEDED. J <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. O <br /> CONDITIONS OF PERMIT: P <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT (+ <br /> ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. W <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY 00 <br /> PERMITTED. O <br /> 4. NO STRUCTURES, INCLUDING RETAINING WAI I c FTr. Al I owrn WITHIN THF PF(.)[IIRFn WATER <br /> SETBACK AREA. ,.� dc This structure to be used as private residential <br /> 5. 6o-r-4 T U � Lc� h r-U34garage/storage only. Not to be used for human <br /> 6 Fir S r2cu On habitation. 0 �° d 0 0 a f m <br /> i''1 r x3n � �- � � � <br /> p 0 3 <br /> 7. Z C N N O 3 t0 <br /> O N T� m <br /> I declare that this application (including an accompanyingscneaule has been examined b me and to the best of m ^ ` d+: A <br /> PP (• 9 Y 1 Y Y G)22 C <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of <br /> all information contained In this application(including any accompanying schedule)and I further declare that I recognize m [ 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 I am <br /> providing in this application. I agree to permit county officials charged with admini i only ordinances or other <br /> authorized person tp have a ess 1_oythe above described premises at any reaso nalb <br /> T a : <br /> m : y <br /> SIGN HERE � a <br /> gna re er or building contractor) A� (date) (� <br /> ZONING ADMINISTRATO r'Y 17 <br /> LJ Li <br /> r . d �+fR E9 fR N <br /> r����yy��������o,Ar��J1C�` -�`, O N N W W V A <br /> 61,r1 ,l,c ���� O ONO U O <br /> TOWNSHIP PERMITS MAY BE REQUIRED VV 1 , ��qq������������ ry THIS PERMITSHALL EXPIRE ONE YEgR FROM DATE OF ISSUAQW4 <br /> t�(mT+-+ Lf-,-- 7)ir--" 1-10bgShawr)dT/nombtk)�e-q ll-�y D5 <br />