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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 <br /> o o) ^�^J <br /> N W <br /> OWNER TELEPHONE 7/7 - cIZ30 C <br /> \ Owl <br /> / L j,, L m <br /> MAILING ADDRESS L1050 i�& �// �-rr^C��1 1 S " "� 1 F�G�(j SL/ OL�� <br /> 1 L1�7 <br /> PROPERTY ADDRESS <br /> SUµ/T.�/RIfSIl/ '�JGddW4 S0 T3- R Ltd ^j ' V <br /> LEGAL DESCRIPTION(see tax receipt) Se e �I O n E 7- 1R-6f-6 O?2.00 S-374 <br /> -OY-0 p7.700 (J� C d <br /> 1 � <br /> DWELLING/BUILDING ❑ GARAG CCESSORY STRUCTURE�I ADDITION ❑ , rn o <br /> TYPE OF PERMIT(S): Vu-A"_Z� C <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ <br /> STRUCTURE/ADDITIONUSE: C YCLQL' d- hre-eze_wav "` <br /> (Homme//Cabin; Commercial Bu iness; Bedroom; Deck; etc.) I ' / rn <br /> BUILDING CONTRACTOR: bnn eia.rk - Smaeriny- Si ; ;no �G W <br /> 2. <br /> v <br /> CD <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8'h X 11 SHEET OF PAPER. ANY INCOMPLETE OR <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. p <br /> M m <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O a <br /> m <br /> Z! o Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n 9 j0 <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m `° <br /> NORTH(N). N o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m 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. 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. Cy <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. N U) <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. £ 1 <br /> o � � <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFIC}1 f E WHEN <br /> NEEDED. a �� va <br /> QTHIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. � <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PER 1 ���q� I <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHOREL .Zo / co <br /> J <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY /y/NC UNC, - C� <br /> PERMITTED. (� <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> loom <br /> 5 1 kr <br /> S ACKrRE�/` ''�A7�/�(J` <br /> 6. m3 on. xaT. M <br /> m CN o <br /> 7. Z m m <br /> o T� M <br /> declare that this application (including an accompanyingschedule has been examined b me and to the best of m - r^ <br /> PP (� 9 Y ) Y Y <br /> knowledge and belief it is true,correct and complete. I acknowledge that 1 am responsible for the detail and accuracy ofa 2 <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m $ : ml7 <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- hl <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 �O w <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 /> � <br /> m � m <br /> SIGN HERE 'A ��� <br /> (signatur of -or or building contra r),A 'n , (date) o E <br /> ZONING ADMINISTRATOR <br /> fA fA fA N <br /> 0 TOWNSHIP PERMITS MAY BE REQUIRED5THL <br /> PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE O A\ <br />