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Burnett County 7410 Co. Rd. K, No. 102,Siren,WI 54872 Office of Zoning Administrator _U 17 Z <br /> APPLICATION FOR LAND USE PERMITS . <br /> N <br /> CD <br /> C <br /> OWNER rc �. 7J 4�N�G� TELEPHONE <br /> w <br /> ,� m <br /> MAILING ADDRESS M3 'j*4 LAt%D P4^01 M &JIJETNUA I Mit SS3'13 v <br /> m <br /> PROPERTY ADDRESS 2(.U37 JC=�T <br /> 1 <br /> LEGAL DESCRIPTION(see tax receipt) Ccj a. j q- .39- 16 m <br /> CD <br /> YJ a <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ / rq 0 <br /> TYPE OF PERMIT(S): o <br /> FILLING/GRADING El CAMPING UNIT 1:1 SUBDIVISION ❑ m+ <br /> STRUCTURE/ADDITION USE: 1/Z{ kxI'5TA1& OKK DUE-Tb IZIIT&4216 QC- 1y� <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) rn <br /> /r <br /> BUILDING CONTRACTOR: GY C4APA 04—r-96- (�^ 7q& <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8'h X 11 SHEET OF PAPER. ANY INCOMPLETE OR <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. TO c t <br /> W m v <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O o <br /> T <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. mjZp <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE CD <br /> NORTH(N). <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. o <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. 3 <br /> 5. 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,CQ PLANS 0. <br /> MUST BE SIGNED AND DATED BY THE OWNER. U �j f; j/ \` v <br /> NOTE: BUILDINGISTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIP TION MAY BE DONE WhlI I o <br /> NEEDED. JUN 3 U <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. c <br /> CONDITIONS OF PERMIT: QURNErr COUNTY ^ C> <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ZONING l?Ui <br /> ISSUANCE. <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. 1 <br /> M winE <br /> Cc) om <br /> s. g 3 a g <br /> mC <br /> N o <br /> 7. PP :i m ji c to 33 <br /> : i i O <br /> I declare that this application (including any accompanying schedule)has been examined by me and to the best of my <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of m , c <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize '. m$ : M <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- <br /> sue a permit. I further accept all liability which may a result of the County of Burnett relying on this Information I am m <br /> providing In this application I a res to per officials charged with administering county ordinances or other <br /> P 9 PP 9 P 9 9 tY E n i <br /> authorized person to a ess to thjA abo es ri ed premises at any reasonable time for the purpose of inspection. a U <br /> C CD 0 <br /> w m <br /> SIGN HERE G Z p <br /> (signat0fe @ owns riding contractor) (date) ` a <br /> W <br /> ZONING ADMINISTRATOR I/)7 Ocan(qa4 V) <br /> � r 'uNo 0 <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />