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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator _V 0Z <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> r � \ <br /> y <br /> C <br /> OWNER Q'��( -r�f , TELEPHONE <br /> �1 m <br /> vq I^ I1 (( ',i n m <br /> MAILINGADDRESS O l �' Yom{ C Dr. a CTS y 1 Q �!1/ 5503 f <br /> !!` m <br /> PROPERTY ADDRESS &j 2 7 <br /> l� <br /> LEGAL DESCRIPTION(see tax receipt) <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ADDITION ❑ o <br /> TYPE OFPERMIT(S): �erl\ _) a <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ /]8' ��' <br /> STRUCTURE/ADDITION USE: 0. O k A SP- b6AA O O p 0' <br /> 0 <br /> (Home/Cabin; C'ornnilercial Business; droo n, eck;etc.) co <br /> BUILDING CONTRACTOR: L_V�� QQ -e S ((JY U• �' <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 <br /> O <br /> N o <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O m <br /> -n a <br /> T Z <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 <br /> NORTH(N). <br /> n <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. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. N <br /> SU <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC., THE PLANS 0 I <br /> MUST BE SIGNED AND DATED BY THE OWNER. a <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VE I o <br /> NEEDED. � � ' � ( <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. JUN o Q <br /> CONDITIONS OF PERMIT: ((JJpp�����,... 6 �/ <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OFFPEF21411fCT7 CO 'J <br /> ISSUANCE. ZONING <br /> �n17y <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. N'NG <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. <br /> 6. m 0 = 0 I a F m <br /> �O B cL � nm ;u <br /> -o (DCN !" o � 3 <br /> 7. o n CD 0 <br /> 'Q � p <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my G) c C <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of d v <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m o m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- (: i O <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 d <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other o <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection. ° o <br /> / � y� <br /> SIGN HERE X / 2j 9 C/ O <br /> CL : <br /> (signatner or build f <br /> ure owrador) <br /> ZONING ADMINISTRATOR (� v, <br /> EA fA fA EH - N <br /> C N T N N O O <br /> „VJ, (TO (T (r00 <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br />