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Burnett County 7410 Co. Rd. K, No. 102,Siren,W154872 Office of Zoning Administrator - o� i o <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> r <br /> CD <br /> OWNER Jt�.GCI��IU �IOLLS� TELEPHONE <br /> 111 6 p O S` <br /> MAILINGADDRESSCD <br /> PROPERTYADDRESS pt13(� J E� ��• r ° <br /> LEGAL DESCRIPTION(see tax receipt) a`T, T 7 /f 16 /1 �� ql S Y4 VS� tS E �` C <br /> (/ V 0 <br /> DWELLING/BUILDING ElGARAGE/ACCESSORY STRUCTURE ❑ ADDITION Cl) ° <br /> TYPE OF PERMIT(S): cr ° <br /> FILLING/GRADING CAMPING UNIT ❑ SU DIVISION ❑ �' <br /> STRUCTURE/ADDITION USE: <br /> (Home/Cabin;Commercial Business; Bedroom; Deck;etc.) cn <br /> BUILDING CONTRACTOR: hFlh'S�Sd m <br /> v <br /> CD <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 81/2 X 11 SHEET OF PAPER. ANY INCOMPLETE ORn 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. 0 <br /> M <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O a <br /> T v Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n d ;b <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m m <br /> NORTH(N). y 3 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m ° <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. 0 <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. :-5 Q <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. IN f <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CO R, ETC.,THE PLANS 20. rX�j7 <br /> MUST BE SIGNED AND DATED BY THE OWNER. �f \ ° ° <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIF CATION MA �-a <br /> NEEDED. T)OCT W <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. J 2009 a <br /> CONDITIONS OF PERMIT: G h <br /> E , <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PRRTZ�COUNTY Q <br /> ISSUANCE. NTNG <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 /> SETBACK AREA. <br /> 5. <br /> CD 4) 0CDam <br /> "o mM 3 CK Om Ox <br /> Cawo` � 3 <br /> 7. Z rn � ° <br /> ° -n,7< m <br /> COL I declare that this application (including any accompanying schedule) has been examined by me and to the best of my r', c' C <br /> knowledge and belief it is true, correct and complete. 1 acknowledge that I am responsible for the detail and accuracy of `^ m °C v, <br /> 0 : it <br /> all information contained in this application(including any accompanying schedule)and 1 further declare that 1 recognize � m � o . mo <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- G)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 to have access to the above described premises at any reasonable time for the purpose of inspection. `D o <br /> SIGN HER L.t.�i.z/ <br /> a : <br /> (signat`ure'VI wner uilding contractor) ( 'ate) <br /> ZONING ADMINISTRATOR • d, <br /> fA fA 69 EA 0 N <br /> /I 0 0 <br /> (n NN0 <br /> V1 O Ul (." O O <br /> TOWNSHIP PERMITS MAY BE REQUIRED �OL <br /> 3I,)I C Q 6Ln-�6 <br />