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on rn , <br /> Burnett County 7410 Co. Rd. K, No. 102, Siren, WI 54872 Office of Zoning Administrator 1 m c o <br /> APPLICATION FOR - LAND USE - PERMITS 3 <br /> 0 <br /> TO THE ZONING ADMINISTRATOR:The undersigned hereby makes application for a Permit for the work described and 'Z H <br /> located as shown herein. The undersigned agrees that all work shall be done in accordance with the requirements of the <br /> Burnett County Land Use Ordinance,Sanitation Code, and with all other applicable County Ordinances and the laws and 3 n <br /> regulations of the State of Wisconsin. y m <br /> w � <br /> c <br /> OWNER Cecil Wey TELEPHONE 635-7639 <br /> O ,p <br /> ADDRESS <br /> 1887 County Road A, Spooner WI 54801 <br /> EMERGENCY/FIRE NUMBER Same ROAD NAME Same l J <br /> I <br /> LEGAL DESCRIPTION (see tax receipt) n <br /> CONTRACTOR <br /> TYPE OF PERMIT(S): DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE ADDITION o <br /> SANITARY PRIVY FILLING/GRADING CAMPING UNIT X SUBDIVISION a ° <br /> 0 <br /> r <br /> STRUCTURE/ADDITION USE: Camping Unit for 6 months o ° <br /> (Home/Cabin;Commercial Business; Bedroom;Deck;etc.) ZO <br /> 0 0 <br /> v <br /> m <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (Aerial or top view) <br /> 1. Show the location and size of all existing buildings (EB) and all new buildings (NB) and Indicate North (N). <br /> 2. Show the location of the well (W),septic tank (ST),and drainfield (DF). <br /> 3. Show dimensions in feet of the following:(a) building to all lot lines,(b)building to center line of road,(c)building <br /> measurement to the ordinary high water mark of lake, stream, or river. C <br /> 4. If separate plans are submitted by an architect,engineer,builder,contractor,etc.,the plans must be signed and X <br /> dated by the owner. O o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSITE VERIFICATION BEFORE A PERMIT CAN BE ISSUED. an a N <br /> c <br /> PLOT PLAN n o a <br /> MAY 1, 1993 - OCTOBER 31, 1993 m N. <br /> 0 <br /> See Previous permits: C ( <br /> N <br /> M <br /> #16156 - camper <br /> 115521 - camper <br /> 114873 - camper <br /> #14159 - camper <br /> #13676 - camper h privy <br /> #13137 - camper yI m <br /> W n <br /> �} o <br /> #13188 - sanitaryo j <br /> #13357 - storage bldg. <br /> m <br /> o � <br /> N <br /> NOTE: Next year you will need to apply for a conditional permit <br /> if you want to park your camper on your lot. <br /> z <br /> I <br /> f <br /> m O,C M NrDa� m <br /> CONDITIONS OF PERMIT; v y.: C 0 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ISSUANCE. o m 1`z <br /> 2, REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. F _�": M <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. 62 m <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my knowl- o <br /> edge and belief it is true,correct and complete.I acknowledge that I am responsible for the detail and accuracy of all informs- a ro ds <br /> tion contained in this application(including any accompanying schedule)and I further declare that I recognize that this infor- 9 ii g : p <br /> mation I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I 0 <br /> further accept all liability which may be a result of the County of Burnett relying on this information I am providing in this ap- i i i <br /> plication.I agree to permit county officials charged with administering county ordinances or other authorized person to have N p <br /> access to the above described premises at any reasonable time for the purpose of inspection. 3 0 3c' <br /> 0 A w <br /> d) : <br /> NW <br /> SIGN HERE <br /> (signature of owner or building contractor) (date) <br /> ZONING ADMINISTRATOR Jim Flanigan <br /> n <br /> TOWNSHIP PERMITS MAY BE REOUIRED o N N ^ N m <br /> 000 000 y <br />