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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator - o 0 <br /> 'APPLICATION FOR LAND USE PERMITS 3. <br /> r <br /> to O <br /> N <br /> C <br /> G� p Gq q N O <br /> OWNER I;A gplrr A 1015 1� TELEPHONE tpS� 13 U 1 1� t 0 <br /> MAILINGADDRESS CQ14se ?\FtV6Mt4K 1R C>1£I,C� 1`11N�1 55089 � �� <br /> r � <br /> 0 <br /> PROPERTY ADDRESS 3 o l ki;k6 5 -D R IyE DA-A t u R%/ IJi.5c <br /> / <br /> LEGAL DESCRIPTION(see tax receipt) 14ii4lsWA,kakl /Qb5655z4R5 T).A,+ tor33 032'.1C7Z/" d6�ed 1 CD <br /> ❑ <br /> DWELLING/BUILDING ❑ ARAG /ACCESSORY STRUCTURE CQ ADDITION 032 <br /> TYPE OF PERMIT(S): b 3oZ �a - v <br /> FILLING/GRADING ❑ CAMPING UNIT 1:1 SUBDIVISION ❑ O /_�� 5. <br /> a <br /> JJ 2 t N <br /> STRUCTURE/ADDITION USE: r t, o <br /> A <br /> (Home/Cabin; Commercial Bus' esus;Bedroom;Deck;etc.) U <br /> BUILDING CONTRACTOR: LF <br /> v <br /> M <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 81/2 X 11 SHEET OF PAPER. ANY INCOMPLETE OR T 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. O <br /> x <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) 0 n <br /> -n Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m r� � <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS (EB)AND ALL NEW BUILDINGS(NB)AND INDICATE im D1�^?IL <br /> NORTH(N). ° <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 b Z <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. ° <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. I <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. V j <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE PLANS C 0 <br /> MUST BE SIGNED AND DATED BY THE OWNER. �^ ^ o <br /> q ? <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIF Y = o <br /> NEEDED. (((q"`` <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. APR 2 ! I o <br /> CONDITIONS OF PERMIT: /r I <br /> ��Rj'�'^ <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF r'��rNE � <br /> OV <br /> ISSUANCE. C NTy <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE?CNING 1 <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY Q <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5• This structure to be used as private residential p 0 r- a v> o Tl <br /> 6 garage/storage only. Not to be used for human "g 3 a a z <br /> g <br /> habitation. z° o <br /> 7. o <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my oo ' G7 c C <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of N o a A <br /> all information contained in this application(Including any accompanying schedule)and I further declare that I recognize m o O <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- i CD� <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 : m <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other <br /> authorized person to have cess to the bove describe mises at any reasonable time for the purpose of inspection. o <br /> CDm <br /> -2 I - Zoo Z iu : <br /> SIGN HERE o <br /> (signa o r or building cont tor) , (date) ; <br /> �,,1 <br /> ZONING ADMINISTRATOR en ei <br /> fA <br /> 0 EA Vi 0 N <br /> N N N N O O <br /> TOWNSHIP PERMITS MAY BE REQUIRED w`,) <br />