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Irnett County 7410 Co.Rd.K,No.102,Siren,W154872 Office of Zoning Administrator W o 0 <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> C <br /> L d <br /> *ER4maay�/D�6 (�a-le_ TELEPF'°''E >/5-866-7669 fiL o � <br /> G/2-369. 369/ Cell 0 <br /> .ILINGADDRESS ,2 g2t{2. FREvci M.D — Din" 1-1)::1-- 44'q 3�1 <br /> 0 <br /> k <br /> � <br /> OPERTY ADDRESS SAME <br /> b1ioftwtun pA"r 2Ssr zS(, o <br /> GAL DESCRIPTION(see tax receipt) ko+3 ZO - 1.f)- 1L CSM t4AP /L b <br /> DWELLINGIBUILDING 1:1GARAGE/ACCESSORY STRUCTURE K ADDITION ❑ Z CO) ° <br /> PE OF PERMIT(S): _ J ❑ �_` a <br /> ---�� FILLINGlGRADING CAMPe10-U SUBDMSi01'r lJ --- - - <br /> RUC URE/ADDRIONUSE; STdp-g6E SAFD - Pd Ie, 30 w X 40 401A X /bt 1416 M <br /> (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) m <br /> III-DING CONTRACTOR: S44`- e W Jim- <br /> a <br /> DLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR <br /> _EGIBLE PLOT PLANS WILL BE RETURNED. 0 <br /> RECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) <br /> O a <br /> =' o < Z <br /> ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. mRt <br /> _1 <br /> SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> NORTH(N). W 3 <br /> SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m o <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF <br /> S z <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. ��'j ° <br /> SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO � <br /> BUILDINGS,ROADS,LAKE,LOT LINES. I <br /> INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. -Z) ON p <br /> IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR, ETC.,THE PLANS !•J <br /> MUST BE SIGNED AND DATED BY THE OWNER. <br /> )TE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN <br /> ar. ° <br /> NEEDED. <br /> ilS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. c <br /> 3NDITIONS OF PERMIT: <br /> DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <br /> ISSUANCE. <br /> REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> PERMITTED. <br /> NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. I I I r <br /> This structure to be used as private residential 8 m 0,0 R a f r;i <br /> garage/storage only. Not to be used for human <br /> 3 a e w R m <br /> habitation. o w ° <br /> Z w4 <br /> declare that this application(including any accompanying schedule)has been examined by me and to the best of my �j ui A <br /> iowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of <br /> 0, u <br /> 1 Information contained in this application(including any accompanying schedule)and I further declare that I recognize m C : 0- mQ <br /> kat this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to Is- <br /> 1'e a permit. I further accept all liability which may be a result of the County of Burnett relying on this information I am <br /> roviding in this application. I agree to penult county officials charged with administering county ordinances or other <br /> athorized person to have access to the above described premises at arty reasonable time for the purpose of inspection. o o <br /> KiN HERE I I&44.w V • 7" 'Z�� �' <br /> n ; <br /> (sig \ or building c <br /> ONING ADMINISTRATOR d,d, <br /> ��/�� C"n ro wp N OO <br /> ����1/ I'(S//(� (J1 O th N O O <br /> I13W0 e V TOWNSHIP PERMITS MAY BE REQUIRED 1� <br />