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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 /> N � <br /> OWNER /, II GTT- E� TELEPHONE <br /> HOME ADDRESS 1 V gvL /�s�,�.[��✓d 1T L/G T J�i�f, I�IIt� ji��10y V <br /> r � <br /> 0 <br /> EMERGENCY/FIRE NUMBER 3 t� t/ ROAD NAME M yn«-x LK RSI <br /> Toaw<J OF sco/ss PAR CEz ,ao: 07-oaa x-w-AS_.24400 <br /> LEGAL DESCRIPTION(see tax receipt) pG,L dsM y 2S9 C/A) (,QV �L-0 T- a N <br /> DWELLING/BUILDING ElGARAGE/ACCESSORY STRUCTURE 1:1 ADDITION 12 PRIVY ❑ rn 0 <br /> TYPE OF PERMIT(S): rr1 <br /> FILLING/GRADING ❑ C MPING UNIT ❑ SUBDIVISION ❑ n <br /> i 1 T. <br /> STRUCTURE/ADDITION USE: ��t k90^1 44d iT/010 CaOXaO G:Aj.4dr-� o <br /> Home/Ca i ommercial Busine room; Deck; etc. r/r /h - <br /> BUILDING CONTRACTOR: CO) IU E /C . WA AF OL Eu <br /> J� v <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 81/:X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. 0 <br /> M N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O m \. <br /> n n <br /> -n z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n m p <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE C :? Z O <br /> NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO mI <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. 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. 1 <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> N <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR, ETC.,THE PLANS ,C O <br /> MUST BE SIGNED AND DATED BY THE OWNER. <br /> o 0 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN a o Qj, <br /> NEEDED. g (n <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Z �'1 <br /> CONDITIONS OF PERMIT: o <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT % I <br /> ISSUANCE. r <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY ] ( I <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA.5. <br /> fTr 0�0 <br /> 0 rn <br /> o. m � m m <br /> 7. Z : fD� <br /> o : <br /> l Cn m <br /> I declare that this application (including any accompanying d been examined by me and to the best of my (j c p <br /> knowledge and belief it is true, correct and complete. I ac(C e h _1LIg for the detail and accuracy of d 0 ' C <br /> all information contained in this application(including any iZ�In#'S'Kwurther declare that I recognize 'm A <br /> that this information I am providing will be relied upon by a`"`���CCCC����o�u,,rr3t���ttt����o in'determining whether to is- ? y E E E p <br /> sue a permit. I further accept all liability which may be suit of the County of Burnett r I' ing on this information I am m <br /> providing in this application. I agree to permit county o ials c1 ti Isteri ounty ordinances or other m E <br /> authorized person to have access to thea ove described' misesaf any eoT�Elb time the purpose of inspection. T <br /> CD : <br /> CD <br /> SIGN HERE _... ..,. t 7 COUNTY <br /> (seaturiofil5writror building cony ctor) LUMNIG (date) <br /> ZONING ADMINISTRATOR <br /> fA fA fR f/i 69 69 <br /> N N r n N N U 1 V 1 <br /> VI (.n O (n UI o 0 <br /> TOW SHIP PERMITS MAY BE REQUIRED <br /> 0000000 <br /> 0 <br />