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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 /> 0 <br /> N <br /> CD <br /> °w"ER -J'homas C, 4 Diane M. Renne TELEPHONE 743-*2-qq 0 <br /> d <br /> 11 <br /> MAILINGADDRESS 0200 Hi II S-L, Neil(si i4e, W1 ,.5µ4,56 v o <br /> r m <br /> 0 <br /> PROPERTYADDRESS 9,6 116 S. Li p5ett Lake Rot, , S000rter, W1 S1410B µ <br /> LEGAL DESCRIPTION(see tax receipt) ( � c <br /> Lof ,q CSM V.6, A 36 .S. 13, T. 34 N/ R. 14 W N M <br /> DWELLING/BUILDING 1:1GARAGE/ACCESSORY STRUCTURE ® ADDITION ❑ CO 0 <br /> TYPE OF PERMIT(S): v <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ C. �' <br /> STRUCTURE/ADDITION USE: Lake shore StalrWa V ° <br /> J , <br /> (Home/Cabin; ommercial Business;Bedroom; Deck;etc.) rn <br /> m <br /> BUILDING CONTRACTOR: o W VL e C <br /> m <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR B <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. -n <br /> M N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. 5 u <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m m <br /> NORTH(N). Ch <br /> C 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. 9 <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 /> 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. 0 0 ) <br /> R <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATON 'r' - l— z <br /> WHEN ° <br /> iNEEDED. <br /> Ul/ u <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. �� V Z l <br /> CONDITIONS OF PERMIT: ' p <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PQXIy�j <br /> ISSUANCE. �—��iiNE7�r I <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINIZO COVN <br /> 3 NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY NINC �' <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. <br /> X mdr0maf m <br /> 6. 2 3 am 100 COL. M <br /> O N C y y O 3 <br /> 7. Z moo : <br /> O -n`G W <br /> M <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my �j p <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of m c d, <br /> te : cn : M <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognia <br /> ze C o : m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- m 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. m o <br /> CD <br /> SIGN HERE d' <br /> CL <br /> (signature of owner or b 'Id g con actor (date) <br /> ZONING ADMINISTRATOR / <br /> ei`n <br /> HiEA fA 0 N <br /> N (n(T N N O O <br /> (TO (T (TOO <br /> TOWNSHI PERMITS MAY BE REQUIRED 8 <br />