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TYPE OF PERMfT(S): DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE ADDITION_ <br /> SANITARY PRIVY FILLING/GRADING CAMPING UNIT SUBDIVISION o <br /> 0 <br /> STRUCTURE/ADDITION USE: (�QI� 1 kSPAL e �& A )�I a T oA)\ o o O <br /> .. (Home/Cabin,Commercial Business,Bedroom;Deck;etc.) v <br /> Z o <br /> 0 0 <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (Aerial or top view) .}c <br /> 1. Show the location and size of all existing buildings (EB) and all new buildings (NB) and indicate North (N). <br /> 2 Show the location of the well (W),septic tank (ST),and drainfield (DF), o <br /> 3. Show dimensions In feet of the following:(a)building to all lot lines,(b)building to center line of road,(c)building <br /> measurement to the ordinary high water mark of lake,stream,or river. G <br /> 4. If separate plans are submitted by an architect,engineer,builder,contractor,etc.,the plans must be signed and 2 <br /> dated by the owner. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSFrE VERIFICATION BEFO A PERMIT CAN BE ISSUED. '1A 3 <br /> PLOT PLAN A l LMK y 11 Z Q <br /> �,41� c�� ,tiRd <br /> P° orN M i <br /> nD 95 <br /> < <br /> % I <br /> rl/ / 0 <br /> Tp _ <br /> 1 <br /> gµ Z�1 Saaad <br /> Eb <br /> 40 X <br /> 24 <br /> o � <br /> 2E <br /> 2,o r <br /> r ra4D <br /> > lV S �Of/C <br /> Lor Une_'sQ zoo F� F <br /> Sg 91InT o � <br /> a. <br /> CONDITIONS OF PERMIT: Mv � Z,; Z C <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 1 ' <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. I./�+i R' E l E T <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my know[. <br /> edge and belief it is true,correct and complete.I acknowledge that I am responsible for the detail and accuracy of all informa- <br /> tion contained in this application(including any accompanying schedule)and I further declare that 1 recognize that this infor- ; �' E rh <br /> nation roil providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I <br /> further accept all liability which may be a result of the County of Burnett relying on this information I am providing in this al <br /> plication.1 agree to Permit county officials charged with administering county ordirlances or other authorized person to have <br /> access to the above described promises at any reasonable time for the purpose of inspection. <br /> T : <br /> SIGN HERE r � " � ® y0— �'�-^�'z� _s Z— <br /> (signature of Owndf or building contractor) <br /> ZONING ADMINISTRATOR285 <br /> TOWNSHIP PERMITS MAY BE REOUIRED .2JS rn <br /> }t <br /> 88888888 ai <br />