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Burnett County 7410 Co. Rd. K, No. 102, Siren,W154872 Office of Zoning Administrator _ o 0 <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> r <br /> N O <br /> N <br /> O. <br /> OWNER + S TELEPHONE — �� —� <br /> v <br /> m <br /> it <br /> MAILING ADDRESS i � C �� �) FO <br /> r <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION(see tax receipt) P v' 3S ' O G to <br /> m <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ADDITION ❑ cn <br /> TYPE OF PERMIT(S): v <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ <br /> STRUCTURE/ADDITIONUSE: fS o <br /> (H a/Ca 'n; omm rcial Bu 'ness;Bedroom; Deck;etc.) <br /> m <br /> BUILDING CONTRACTO ' <br /> v <br /> m <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. T \?Y+ <br /> O — (f1 <br /> .ZI m <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) Om <br /> T n 3� <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m m �O <br /> NORTH(N). N o� <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m <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. n . <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <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. o <br /> O o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VER ONE WHEN o <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. S � 0 <br /> CONDITIONS OF PERMIT: �/�V// Al 7� <br /> t ISSUANCE.DRIVEWAY <br /> MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS 046YI{ITc , f ` <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORE CO <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY N//V^ �/V <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. /n A-V Gvr A �S�aal�� y <br /> / m W r 0 CD m <br /> O > o m <br /> 6. �b� c- ! U /�T''T^d'(.G' W/45ei�G7/d..�ll fi G u I.G6 �/�1 - �o. 3 n m x �: m <br /> i v (DcN '0 <br /> 7' <br /> Z N O O <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my G)- A <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of d r, v+ <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m - o v <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- m <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 administering county ordinances or other <br /> authorized person to have accAq to the ab a de ribed p mises at any reasonable time for the purpose of inspection. -n ° o <br /> SIGN HE <br /> 8'X1_0 " ° <br /> (sign re o owner o buil g contractor) <br /> (date) c�f <br /> XJ <br /> ZONING ADMINISTRATOR <br /> fA di fA fA�N <br /> �N O+ N N OO <br /> (T O (T OO O <br /> TOWNSHIP PERMITS MAY BE REQUIRED ' <br />