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Burnett County 7410 Co. Rd. K, No. 102,Siren,W154872 Office of Zoning Administrator ° I o7 ' <br /> APPLICATION FOR LAND USE PERMITS <br /> -7I s- 966- -7bILc3 r <br /> OWNER �f(p/71Ps `} L)./nc�111 �e1 �- TELEPHDNE_��°3-ss1-13�� <br /> . 1 tel'I 5 -3 - ° o <br /> MAILING ADDRESS 1�S /n nn A)0 a a4+h l4- W) 8k gloer YnN <br /> PROPERTYADDRESS 335- Fibre yjg,bS <br /> _ N 01 <br /> x <br /> LEGAL DESCRIPTION(see tax receipt) <br /> TYPE OF PERMIT(S): DWELLINGIBUILDIN�G ❑ GARAGEIACCESSORY STRUCTURE ElADDITION Elm 4, <br /> FILLINGIGRADING AI CAMPING UNIT ❑ SUBDIVISION ❑ �' <br /> STRUCTUREIADDITION USE. <br /> (HomelCabin',Commercial Business; Bedroom; Deck; etc.) ra U) <br /> m rl <br /> BUILDING CONTRACTOR: <br /> qI ~ <br /> n <br /> A PLOT PLAN MUST BEP BED LEAST AN 8%%11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILLILL BE RETURNED. <br /> NED. p u Q 1 <br /> M IV <br /> DIRECTIONS FOR PLOT PLAN DRAWING (AERIAL OR TOP VIEW) O n <br /> T Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m 0 y <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> NORTH IN). a v o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m 1 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. <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO O <br /> BUILDINGS, ROADS, LAKE,LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. o (I 1 <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR, ETC.,THE PLANS N <br /> MUST BE SIGNED AND DATED BY THE OWNER. <br /> O <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAYBE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. <br /> CONDITIONS OF PERMIT: ` r� <br /> v V' <br /> 1, DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT (J� <br /> ISSUANCE. � I' <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY p <br /> PERMITTED. C <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE <br /> TH <br /> EREQUIRED WATER <br /> 5SET ACK AR A�QCi a11bd Sh�r'e-1Q✓iXCe.III M}� <br /> A reo8 dca <br /> sOk-HIQ3 b� Lay-4-r Wa-)frODv fvaehibn UM01h0- o 0 : <br /> 7. <br /> - p] <br /> m <br /> 1 declare that this application,(including a any accompanying acknowledge <br /> schedule)t has been responsible <br /> by me and to the bast of my Q 2 C <br /> knowledge ion belief i it is true,correct and complete. I any <br /> accompanying <br /> that I am responsible for the detail and accuracy of <br /> all information contained in this application(Including any accompanying schedule)and I farther declare that 1 recognize J . . E . mo <br /> that this information I ac providing all liability <br /> will be relied upon by the County of Burnett BurnetWisconsin <br /> re In g On this <br /> In whether to is. J m : <br /> sue i permit I further accept all liability which may county <br /> o result of the County or Burnett relying on this Information I am o <br /> providing In this application. I agree to permit county officials charged with administering county ordinances or other � u <br /> authorized persorytiO have access to the above described premises at any reasonable time for the purpose of inspection. <br /> mD <br /> SIGN HERE ' a <br /> algmTtunrenof owner)o/y 6ailtli�nAq contractor) de.) <br /> ZONINGADMINIST TOR Jit l' I `G1.�t" IQh <br /> Bolo IS <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> T S PER� � � <br /> IT SHALL EXPIRE ONE YEAR FROM DATE OF I SUANCE <br /> �Wmt <br />