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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator - ii o <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> r <br /> � J <br /> OWNER LORP-N j,-J04�&sc�^ANN SGN4LZ TELEPHONE <br /> m <br /> MAILINGADDRESS E60 SPRUCE ST oFA9A1SV6T61V ,til Al S <br /> PROPERTY ADDRESS QNi> r/ 441 75S Cl-,4.b4 I-ARC DR S14zey L.*!S 572- <br /> LEGAL <br /> 2LEGAL DESCRIPTION(see tax receipt) 7'WS4rTGH' Uk'Jr7 N <br /> oru� GoA/DO <br /> ty1I a <br /> DWELLING/BUILDING ICI GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ to o <br /> TYPE OF PERMIT(S): c ' <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ n <br /> N <br /> STRUCTURE/ADDITION USE: CR B T A/ 0 <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: nlil 0fiR iu <br /> N <br /> v <br /> m <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. -r! <br /> C6mfn6�IS� ;o 0 <br /> � <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) ��/ ��rl P-�i O n <br /> -, <br /> T Z <br /> 7. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m fD, <br /> NORTH(N). <br /> n <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m a30 <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. <br /> S. 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 I <br /> MUST BE SIGNED AND DATED BY THE OWNER. ,o 0 <br /> v <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN 0, <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o V ) <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT 'g\I <br /> ISSUANCE. U <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 /> A co 0r- Do l� <br /> 6. n C m W 0 M F Tl <br /> N C y N O J <br /> O N N 7 <br /> 7. 0 <br /> O N TI, <br /> I declare that this application (including an accompanyingschedule has been examined b me and to the best of m <br /> PP ( 9 Y ) Y Y 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 m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- W m 25 : (n : C <br /> : > <br /> 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 : o : <br /> providing in this application. I agree to permit county officials charged with administerin county ordinances or other ': ,o ': <br /> authorized person to have ass to the above described p mise at any reasonable <br /> n <br /> m Di <br /> SIGN HERE <br /> (sig tura of owne ilding con ctor) (date) I o_ <br /> ZONING ADMINISTRATOR SEP 19 2005 <br /> BURNETT COUNTY <br /> c> a M w <br /> N " " <br /> O (nONfn UiO <br /> TOWNSHIP PERMITS MAYBE REQUIRED 77���� <br /> THIS PERMIT SHALL E PIR ONE YEAR FROM DATE OF ISSUARCE'ING O <br /> ,/mfJ-d �e *r6�tlecl i-D 1_Drer ����lz I1- 4 oS <br />