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Burnett county 7410 Co.Rd. K, No. 102,Siren,WI 54872 Office of Zoning Administrator < I p <br /> APPLICATION F�nb orO/R LAND USE PERMITS <br /> OWNER }NP Nm,"m_l TELEPHONE r� Z3 --1238 �= <br /> r� O <br /> MAILINGADDBESS OIJ�Prvt(/] r•C{' _ QOSprvtplA yVl N�7LQ� �� ' <br /> PROPERTY ADDRESS (1.1p)z$Cef/_ �_ � ( <br /> `�Q9 — Xl '— C> <br /> L� <br /> LEGAL DESCRI PTION(see tax re-,Pt)IA-r I\ C$th V1 <br /> CSth V5P2456oy lerf ]) <br /> 0 N <br /> DWELLINGIBUILDING ❑ GAHAGEIACCESSORYSIRUCTURE AUDITION ❑ ['� <br /> TYPE OF PERMIT($). U a <br /> FILLINGIGRADING ❑ CAMPING UNIT ❑I SUBDIVISION ❑ u <br /> STRUCTUREIADDITIONUSE: ( areae <br /> J <br /> (Home/Cabin; Commercial Business; Bedroom Deck; ek.) ip <br /> _ <br /> / u CeS <br /> BUILDING CONTRACTOR: ZCON OVYv <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR m0 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) <br /> O a <br /> T � W Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. [) °' G A <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE on C ...m o <br /> NORTH(N). m <br /> N v <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDINGS)TO <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF o <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO <br /> BUILDINGS,ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR, ETC.,THE PLANS I n ? w <br /> MUST BE SIGNED AND DATED BY THE OWNER. O <br /> NOTE: BUILDINGISTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAYBE DONE WHEN <br /> NEEDED. <br /> Z W <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. n <br /> CONDITIONS OF PERMIT <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. `•–J! <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> 4. NO STRUCTURES, INCLUDING RETAINING WAI I S FTC Al I nWFn WITHIN TNF RFOIIIRFn WATER <br /> 5. 4S$ETBACK AREA. t <br /> r M010-IDX 10 This structure to be used as private residential m Q n D ¢ m <br /> from dd..��CCSq114r(fta^garage/storage only. Not to be used for human <br /> 6. Cell �vIJZ"ID f�rgM A2 habitation. <br /> lo}IIrtC_ - zi A <br /> T. om N <br /> 1 declare that this application (including any accompanying screams) nas dean examined dy me and to the nest of my <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of <br /> all information contained in this application(Including any accompanying schedule)and I further declare that I recognize =; 0 <br /> that this Information I am providing will be relied upon by the County of Burned Wisconsin In determining whether to W. <br /> sue a para. I further accept all liability which may be a result of the County of Burned relying on this Information I am d <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other a <br /> authorized parson to have access to the above described premises at any reasonable time for the purpose of Inspection. <br /> D <br /> SIGN HERE f� �Y,,,'I ��� Zo <br /> (signatur(ef owner or bwldlU contractor) (sate <br /> ZONING ADMINISTRATOR / -) t^on I vn h�o N�i <br /> w' <br /> 6q3� UW <br /> TOWNSHIP PERMITS MAYBE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FRAM DATE 3' OF ISSUA CE �_�S <br /> T2-rf-y -4- do,J'-1 r Le 14v Uo Gln Orn1kLr- <br />