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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator - 0 0 <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> ^ r <br /> 2)Avt= rna)-jib jrr\i-R AnT VN <br /> OWNER TELEPHONE � 1 57 . C056, y p y y O a 00 <br /> MAILINGADDRESS I ti, �u� -3is W���`C� �� _ 54°Qt'3 v O <br /> r � <br /> PROPERTYADDRESS LOT f47 S J-0I S �AJ-j- I o <br /> St'C TSJ�1 S7' Tt.,,R. L-4,3 <br /> coo <br /> LEGAL DESCRIPTION(see tax receipt) P(-L- Sw SW se'. j 1-S'5 SE SeS, (,p II c <br /> DWELLING/BUILDING CQ GARAGE/ACCESSORY STRUCTURE'S ADDITION ❑ � 0 <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ n <br /> STRUCTURE/ADDITION USE: 140 M tz I �R R AI e z 0 <br /> ( ome/Cabin; Commercial Business; Bedroom; Deck; etc.) cn <br /> CT <br /> BUILDING CONTRACTOR: _Nome "Tutt J,11J PVyt�)1Rvt Si-AB- a - Accunm d <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. T <br /> A m <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O a <br /> T <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. i7 m A <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m ;? <br /> NORTH(N). <br /> O <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m v <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF I 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 SU <br /> BUILDINGS, ROADS, LAKE,LOT LINES. 1 `< <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,CONTRACTOR,ETC.,THE PLANS 0 <br /> MUST BE SIGNED AND DATED BY THE OWNER. o <br /> O � <br /> NOTE: BUILDINGISTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN g <br /> NEEDED. n <br /> 1 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT I „ <br /> ISSUANCE. <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 /> PERMITTED, <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. (04-b'yra( <br /> m m m Dao m <br /> 6. m �'c3 nm xam .L <br /> a p N C y y O 5 3 <br /> 7. Z a N o J ,O <br /> P Tom ' m <br /> I declare that this application (including an accompanyingschedule has been examined b me and to the best of m [ i» O <br /> PP ( 9 Y ) Y Y i � 2 ! � ; C <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 �E [ m $ ? a m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in wpJt `� ' v, <br /> sue a permit. I further accept all liability which may be a result of the County of Burnett re g 's o m o <br /> providing In this application. I agree to permit county officials charged with administerin re ttr It ,p <br /> autho ' d person to have access to the above described premises at any reasonable time he purpose of inspection. <br /> T a <br /> 2 7 2006 . I. . <br /> N <br /> SIGN HERE t t � d+ � �` ` � n <br /> (sign ur f owns r building contractor) date) <br /> ZONING ADMINISTRATOR BUR <br /> �JEfl` COON <br /> O N iAJ N <br /> TOWNSHIP PERMITS MAY BE REQUIRED o u <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> f rmj T [e6Cxr Sen-t to �a( e to om e rt f y-�8-(�(0 <br />