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LEGAL DESCRIPTION (see tax receipt) 5 e e � �C <br /> J <br /> CONTRACTOR Safi - -5 Z , / / = se// - <br /> TYF= OF PERMIT(S): DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE ADDITWr ' <br /> m <br /> SANITARY PRIVY FILLING/GRADING CAMPING-UrRT —"-SUBDIVISION o <br /> STRUCTURE/ADDITION USE: Ga f h c = � - <br /> (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) Z c <br /> 0 0 /, <br /> .. m t\ <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (Aerial or top view) G <br /> 1. Show the location and size of all existing buildings (EB) and all new buildings (11413) and Indicate North (N). <br /> 2. Show the location of the well (W),septic tank (ST), and drainfigld (DF). 0 <br /> 3. Show dimensions in feet of the following:(a) building to all lot lines,(b)building to center line of road,(c)buildingIZ <br /> measurement to the ordinary high water mark of lake,stream,,-or river. � _ <br /> 4. If separate plans are submitted by an architect,engineer,builder,contractor,etc.,the plans must be signed and C) <br /> dated by the owner. r � I/ ;/ I I I<, O o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSITE VERI�ICdTfON BEFORL�A PERMIT CAN BE ISSUED. an v m . <br /> Z <br /> P' 7 PLAN CeAAke,, ns (el aw ivPif o� <br /> n <br /> to - z <br /> � <br /> -)4/ <br /> i � -v <br /> 10.vi <br /> .• lap/ �� C� � cn <br /> q gT (� c_. <br /> Jas IJI�n�+n�} 5 <br /> / I ,4p 4aQp/ err <br /> p s�. N o s <br /> N <br /> OrAlvla 701 IC <br /> wu4ev- iJ <br /> Mccy-k VJ � x <br /> JV <br /> Aivy <br /> o �� m in n <br /> � m <br /> CONDITIONS OF PERMIT: o <br /> 1. DRIVEWAY MUST MEET DRI SWAY WIDTH REQUIREMENTS WITHIN 60,DAS�OF PERMIT ISSUANCE. Z m a'• Q <br /> 2. REMOVAL OR CUTTING OF TREES AND VEG fATION IS REST ICTED 9L%IG SHORELINE. o £ ' ` M u' <br /> q ; e , rn <br /> 3. NO GRADING OR SHOF�ELAND ALTE TIONS;ARE ALLOWED/JNLESS SPECIFICALLY PERMITTED. <br /> VJ g ma C <br /> .. r� <br /> I declare that this application(including any accompanying schedu(e)has been examined by me and to the best of my knowl- <br /> edgenrl and belief it is true,correct and complete.I acknowledge tha(I am responsible for the detail and accuracy of all informs- w m w E O <br /> N <br /> tion contained in this application(including any accompanying-#hedule)and f further declare that I recognize that this infor• .i�, I i?i� v, ; <br /> mation I am providing will be relied upon by the County o1 Burnett Wisconsin in determining whether to issue a permlt. 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 ap- <br /> plication.I agree to permit county officials charged with administering county ordinances or other authorized person to have ; n v <br /> access to the above described premises at any reasonable time for the purpose of inspection. <br /> 3 <br /> M x: <br /> J <br /> i m aN <br /> SIGN HERE <br /> (ai netre of ow er or building contractor) (date) i <br /> ZONING ADMINISTRATOR ✓�—� � il� c $ <br /> _ r <br /> t. 1A,(w N VMM• <br />