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Burnett County 7410 Co. Rd. K, No. 102,Siren,WI 54872 Office of Zoning Administratoro 0 <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> r <br /> N O» <br /> N <br /> CD <br /> OWNER i"�f C✓+'L l.f�YLft4FJl'�fS�1+Gi �fr..i� S TELEPHONE 3 233-), 67 O <br /> m <br /> Q O <br /> MAILINGADDRESS pbX)3,;Q60 Tr>w -, 4W. At,1! �;[�+'! /'/sr. -C5773S v r <br /> t� ° <br /> PROPERTYADDRESS ��� �� �r �a� r <br /> 1 <br /> LEGAL DESCRIPTION(see tax receipt) <br /> a� 17 � , QW� Land tSNC7fGS <br /> DWELLING/BUILDING ® GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ Vi ° <br /> TYPE OF PERMIT(S): v <br /> FILLING/GRADING 1:1CAMPING UNIT 11SUBDIVISION ❑ a <br /> 11 ca1 <br /> STRUCTURE/ADDITION USE: 0 l <br /> yi (Home/Cabin; Commercial Business; Bedroom;Deck;etc.) m / <br /> BUILDING CONTRACTOR: 1✓andkeirn CVIFJ- -['Cl- osoLGl `(�\ <br /> v <br /> CD <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR T <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. p Q <br /> 0 <br /> M <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O n <br /> ?r Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> NORTH(N). y o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m 3 <br /> a <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. <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. C� <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 ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE PLANS <br /> MUST BE SIGNED AND DATED BY THE OWNER. <br /> f <br /> co <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN ° <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. / Z C> <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYFPER <br /> ISSUANCE. <br /> � <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG <br /> vSHIINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPEC IFICA' *L P. ?DO� <br /> PERMITTED. Q Q <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQ�QQ�IE� <br /> SE%((T??Bf�AC//K��AREA. ��J ••((�T�� ����// <br /> r <br /> C 0MV <br /> CD W 3 c°i a :E£ m <br /> 6. )'0 3a8x �: m .'0 <br /> v m C: 0, ^ o 3 <br /> Z i; m ° <br /> 7. o Tn A <br /> m <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my ZZ t C <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of m ° v, <br /> a u <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize t6 m o : my <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 <br /> providing in this application. 1 agree to permit county officials charged with administering county ordinances or other <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection. o <br /> m <br /> SIGN HERE Gf�.� 3Of, © � <br /> (signature of r ori or a <br /> ZONING ADMINISTRATOR <br /> 'W110af � <br /> 0NNOO <br /> Ly(.T O N 01 O O <br /> TOV SHIP PERMITS MAY BE REQUIRED <br />