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��l CC''rl-y 31 <br /> BurRjtt County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator d -lu 0 0 <br /> APPLICATION FOR LAND USE PERMITS d 3, <br /> 12 <br /> TO THE ZONING ADMINISTRATOR: The undersigned hereby makes application for a Permit for the work y <br /> v <br /> described and located as shown herein. The undersigned agrees that all work shall be done in accor- <br /> dance with the requirements of the Burnett County Land Use Ordinance,Sanitation Code,and with all other - o <br /> applicable County Ordinances and the laws and regulations of the State of Wisconsin. 0 m <br /> OWNER A//7M /nJr1" TELEPHONE <br /> HOME ADDRESS X v . / /r iL ,29, 7 <br /> iV' H 81��iv C Tnnl,/W, ss y�36- I <br /> EMERGENCY/FIRE NUMBER ROAD NAMEI 1 <br /> �D AJ f�'E7775T I1J�j , <br /> LEGAL DESCRIPTION (see tax receipt) 't 02r� — g -�a S'—02 =11 <br /> CONTRACTOR �, /7�OJ-rr-T SL�N ` <br /> 0 < <br /> TYPE OF PERMIT(S): DWELLING/BUILDING—GARAGE/ACCESSORY STRUCTURE--X'—ADDITION <br /> � r <br /> y O <br /> O <br /> SANITARY PRIVYFILLING/GRADING CAMPING UNIT SUBDIVISION o - AS <br /> m � <br /> STRUCTURE/ADDITION USE: 'Ci1.e 455�41-/941e-- 5� lyrr/L. .S'ffai�-� <br /> (Home/Cabin;Commercial Business; Bedroom; Deck;etc.) <br /> r <br /> 0 <br /> A PLOT PLAN MUST BE PROVIDED ON A SEPARATE SHEET OF PAPER. ANY INCOMPLETE OR <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. n <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (Aerial or top view) p 3 <br /> T 9 rn <br /> T o a <br /> 1. All required dimensions or distances to be shown or drawn to scale. m a <br /> 2. Show the location and size of all existing buildings (EB)and all new buildings(NB) and indicate o <br /> North (N). w <br /> 3. Show dimensions in feet of the following: (a) building(s)to all lot lines, (b) building(s)to centerline of m I <br /> road, (c) building(s) measurement to the ordinary high water mark(OHWM) of lake, stream or river. , <br /> 4. Show the location of the well (W), septic tank (ST) and drainfield (DF), and all distances to buildings, <br /> roads, lake, lot lines. a' <br /> 5. Indicate if a walkout basement is planned and show areas to be graded or filled. <br /> 6. If separate plans are submitted by an architect, engineer, builder, contractor, etc., the plans must be <br /> signed and dated by the owner. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSITE VERIFICATION BE- � ° <br /> FORE A PERMIT CAN BE ISSUED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. t <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 D <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN 75 FEET OF THE <br /> OHWM OF LAKES, PONDS, RIVER UNLESS SPECIFICALLY PERMITTED. <br /> 5. <br /> 6. <br /> 7. m m � 5 cv�° o £� � <br /> a m' oi ? W0 <br /> Z Eo Tmi <br />