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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 0 <br /> N <br /> C <br /> TELEPHONE'/� <br /> MAILINGADDRESS K� / � L�!/y�O/ 0 <br /> PROPERTYADDRESS <br /> Ad /61 <br /> GJ 33Z �J <br /> LEGAL DESCRIPTION(see tax receipt) ,1751 Q / 31Z ��7 9� co <br /> �r 5 <br /> DWELLING/BUILDING GARAGE/ACCESSORY RUCTURE ❑ ADDITION ❑ <br /> TYPE OF PERMIT(S): � � <br /> FILLING/GRADI ❑ CAMPING UNIT ❑ SUBDIVISION ❑ a <br /> // < <br /> STRUCTURE/ADDITION USE: A /%J �Q X �(O [//� �x a,6 G(lJ✓et'c o--t1P o <br /> (Home/cabin, Commer lal B iness;Bedroom; Deck;etc.) U) <br /> BUILDING CONTRACTOR: <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 814 X 11 SHEET OF PAPER. ANY INCOMPLETE OR <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. 7f 3. <br /> O <br /> � Nbi DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O r <br /> -n <) <br /> T Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. 9t <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> m A <br /> NORTH(N). C 0 <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. o <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO Q <br /> BUILDINGS,ROADS, LAKE, LOT LINES. N <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 MUST BE SIGNED AND DATED BY THE OWNER.RCHITECT, ENGINEER, BUILDER, CON7�tA�7l�, ETC.,THE PLANS j 0 <br /> �``// /t,i./�� ,MINI 3 F <br /> � � o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VER IFI ATION `�igy, o <br /> NEEDED. <br /> 41 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. I� q <br /> CONDITIONS OF PERMIT: g 2003 / °((}} Cy <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERM T/7 �COV w <br /> ISSUANCE. —l .hl/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 W <br /> PERMITTED. d <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> 5. SE K AREA. l , iJ /— ���d�a�� <br /> 6. � d°r10 Mnf m <br /> Bnm xn �_ <br /> 7. N C y <br /> Z 0 N o <br /> o Tom ' m <br /> I declare that this application(including any accompanying schedule) has been examined by me and to the best of my a —r^ A <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of w w 0 �„ C <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m o M <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- 'Z (D <br /> sue a permit. 1 further accept all liability which may be a result of the County of Burnett relying on this information I am <br /> providing in this application. gree to permit county officials charged with administering county ordinances or other <br /> authorized person ave ss to the above described premises at any reasonable time for the purpose of inspection. <br /> - o : <br /> m m <br /> SIGN HERE ' F» M <br /> a : <br /> (signature of er i ctor) ate) <br /> ZONING ADMINISTRATOR <br /> VIAL? <br /> w e»to <br /> di EA EA fA � N <br /> TO NSHIP PERMITS MAY BE REQUIRED <br />