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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 /> OWNER ENIv 13 L. 1`.s8RS6i✓ TELEPHONE O%66 <br /> m IN <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION(see tax receipt) S I q T10 fZ I J-s72 e511 V / P ,�rff,w 4zrrL 2 3� CPm <br /> �. <br /> DWELLING/BUILDING 1:1 /A <br /> GARAGECCESSORV STRUCTURE)a ADDITION ❑ N 0 <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ a <br /> H <br /> STRUCTURE/ADDITION USE: > >. <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) m <br /> h - ` .� �-� <br /> BUILDING CONTRACTOR: {itD b�� V�pNST. "�JO,DLr/FL' <br /> m <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8'/:X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. /n' I�•I' -n N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) LJI IJI v O a <br /> T <br /> T Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n R A <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS (EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m <br /> NORTH(N). <br /> n <br /> o ) <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m \ t1 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 <br /> BUILDINGS,ROADS, LAKE, LOT LINES. <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. 0 1 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN g <br /> NEEDED. n W <br /> Q <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Z ,r <br /> CONDITIONS OF PERMIT: o 1 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT C <br /> ISSUANCE. 1 <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. Qc <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. hGt �LZho. � l5. / ae-S�� �yLIC !( -f"U I,I�44 A reit6edeZ a <br /> s. On tLf 4)10 LT '/ri2�L✓SG <br /> m wecm moD f <br /> m <br /> o o a n <br /> A <br /> a Q N C y N 0 5. 3 <br /> 7. Z C y 0 7 1 <br /> P m m <br /> I declare that this application (including an accompanyingschedule has been examined b me and to the best of m ' O <br /> PP ( 9 Y 1 Y Y E G>� '. C <br /> knowledge and belief it is true, correct and complete. I acknowledge that 1 am responsible for the detail and accuracy of <br /> all information contained in this application(including any accompanying schedule)and Ifurther declare that I recognize mi m <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. 1 further accept all liability which may be a result of the County of Burnett relying on this information I am m o <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 reasonab i "be T i M i <br /> a <br /> ^ D ; <br /> SIGN HERE r ,,,.i o"' <br /> (signature of owner or bui ing`ontractor) (date) o <br /> // rr 2001:6 <br /> tr� C <br /> ZONING ADMINISTRATOR b Fl ((pp w I n UL 1 7 2006 E <br /> f» Fn f» <br /> -�fA fAHfA� N <br /> TOWNSHIP PERMITS MAYBE REQUIRED BURNETT COUNTY O N O N N N O <br /> THISPERMIT SHALL XPIRE ONE,Y A F OM ANTNG <br /> rM14-� <br /> il, Fe, DnsfrltiCfwt <br />