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Burnett County 7410 Co.Rd. K, No. 102,Siren,WI 54872 Office of Zoning Administrator -V G) Z <br /> APPLICATION FOR LAND USE PERMITS 0 0 <br /> y O <br /> CIO <br /> C <br /> OWNER _ /rI TELEPHONE �S <br /> C O <br /> MAILING ADDRESS �� �- ,Cd 40/ <br /> PROPERTY ADDRESS <br /> 6 ,! O Y 1 <br /> 500✓ �m7`> Ek � <br /> csm � asp sig cs� s <br /> LEGAL DESCRIPTION(see tax receipt) y a PSS 73 r 0 e V� 10 5F 463 $ W rn <br /> I a <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ 0 <br /> TYPE OF PERMIT(S): -C � <br /> FILLING/GRADING CAMPING UNIT ❑ SUBDIVISION ❑ a <br /> STRUCTURFJADDITIONOSE: J U e e K- 40SIA 0 <br /> (Home/Cabin; Commercial Business; Bedroo Deck; tc.) m <br /> CL <br /> � � <br /> BUILDING CONTRACTOR: 'P S I CL e- �l, <br /> 4 <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8'h X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. -n <br /> 31 y <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O o <br /> T <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n w Z <br /> 70 <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m m <br /> NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m 3 (on <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 <br /> BUILDINGS,ROADS, LAKE,LOT LINES. Q t <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. o <br /> � <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN a.vS <br /> NEEDED. I <br /> P a <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o <br /> CONDITIONS OF PERMIT: 50 I <br /> I C <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT f+ G <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 <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER N <br /> SETBACK AREA. Q l <br /> 5. pea ID /� sn` /�1 Gam^ c��t/lAy,(� G��c� Gt�e'� a(�C� �//�� ��. /„ <br /> U m 3am01- > 0 > 011 <br /> xCLs m <br /> (D to N p <br /> T <br /> 1 declare that this application (including an accompanyingschedule has been examined b me and to the best of m Lj ' A <br /> PP (� 9 Y ) Y Y <br /> knowledge and belief it is true,correct and complete. 1 acknowledge that I am responsible for the detail and accuracy of m 0 in C <br /> all information contained in this application(including any accompanying schedule)and I further declare that 1 recognize r m E o G <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 o <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection. m o <br /> CD <br /> SIGN HERE <br /> ( ature of Gr'or buildingontractor) (date) C- <br /> ZONING ADMINISTRATOR tall <br /> F»vi <br /> CJEA fA fA fA -� N <br /> N N N N O O <br /> �J�3 TOWNSHIP PERMITS MAY BE REQUIRED C`n O`n o, o O <br /> ,1yWti THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />