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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. = n 1 <br /> r- <br /> 0 <br /> a <br /> M <br /> s� T' Q / p <br /> OWNER 3/?�/qS �/L /� i�J �S TELEPHONE 0 <br /> MAILINGADDRESS �2 711d LY LOO <br /> r <br /> ' M <br /> 0 <br /> PROPERTYADDRESS �/�Fr✓'�u/Z li��w7'�VQ <br /> LEGAL DESCRIPTION(see tax receipt) t'� , Q— <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE Ill ADDITION ❑ m ° <br /> TYPE OF PERMIT(S): `v <br /> FILLING/GRADING 11 CAMPING UNIT 11 SUBDIVISION El 5. <br /> _N <br /> STRUCTURE/ADDITION USE: C� � o <br /> ( me/Cabin, Commercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: � VPy` 146an_ o, <br /> m <br /> CD <br /> 'v <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR T 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. 0 <br /> 1I w <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O a Q <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. 6 ;b <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m <br /> NORTH(N). y 3 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m v <br /> CENTERLINE OF ROAD, (C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF \ <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. <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. Qd o <br /> o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ) <br /> ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY n , <br /> PERMITTED. IY✓ <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA.5. ft4� ] n e ,M hao <br /> s. C� V." 7 U � This structure to be used as private residential a " X n � <br /> 7. (,��{J�_ p /`) �( garage/storage only. Not to be used for human y y N � 3 <br /> -'i rm o 1 <br /> habitation. T m <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my ly : G7 c : C_ <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy ofI LJ <br /> w n v, <br /> 0, 0 <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m o my <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- <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 access to the above described premises at any reasonable time for the purpose of inspection. m o <br /> �� m <br /> SIGN HERE <br /> (signature of owner or building contractor) (date) a <br /> ZONING ADMINISTRATOR fA IL, <br /> fA 69 EA to N <br /> N Ln N N 0 0 <br /> Ut OU (TOO <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br />