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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 k <br /> y O <br /> N �o <br /> C <br /> N <br /> OWNER 6&07r,,4- )6qRMrt-'F 0-)1e 1=jdye TELEPHONE��^/\) 77d-bi-�9 <br /> MAILING ADDRESS OZ . m O3 ^V } <br /> 1,f, YVAJ <br /> PROPERTY ADDRESS v?701' ✓ .A0A/G 6-10®fJ/= S 01 A J <br /> Sf. 2S-/(o y-�d'7/9� .SaS Tva/R/ycJ Renes .39 <br /> LEGAL DESCRIPTION(see tax receipt) —yfj-/y-aS--$ O DO.�O/(o foT / rsm ✓1 !03 �, <br /> DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ rn O <br /> C <br /> TYPE OF PERMIT(S): a <br /> FILLING/GRADING ❑ CAMPIN UNIT ❑ SUBDIVISION ❑ <br /> A ray <br /> STRUCTURE/ADDITIONUSE: � M� L1�fCSfnl o \`�/'ZNV <br /> /'� �/ �/,;� (Home/Cabin;Commercial Business; Bedroom; Deck;etc.) W <br /> BUILDING CONTRACTOR: C//� ( /JIV,S Pi/✓�O0 Jr�/VV D/1A <br /> Z <br /> v <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. -n <br /> 31 y <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O o lIzD <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. tj m jZp <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m S <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 o <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF <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 J <br /> BUILDINGS,ROADS, LAKE, LOT LINES. <br /> S. 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, 1 <br /> MUST BE SIGNED AND DATED BY THE OWNER. <br /> O p, <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 <br /> 0 <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <br /> ISSUANCE. LL`�JJJS <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 <br /> r SETBACK AREA. J "^n n �5. � -n <br /> [�.� 1.p q��� �Q/J�G(�/G �pw��[�,C./.F' � r� --{ � m d tro m a F 1�f1 <br /> 6.I )Dm. a m x ° m <br /> CD C <br /> 7 CC <br /> 7. e �/�pry/j�n� —i� J-t Z w mo <br /> n,<, <br /> m <br /> 1 declare that this application(including an accompanyingschedule has been examined b me and to the best of m O <br /> PP ( 9 Y ) Y <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of m cci in C <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize OQ m ; i 0i m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- a <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 1p have accep to the above described premises at any reasonable time for the purpose of inspection. -n1; m o <br /> ID <br /> SIGN HERE �T�% �j D r» <br /> iu fS�' <br /> (sl urs of owner or buil con/ttrractor) (date) n <br /> ZONING ADMINISTRATOR /L �CLi i '• <br /> � 7—U2f TOWNSHIP PERMITS MAY BE REQUIRED <br /> �-e � THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE a <br />