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Burnett County 7410 Co. Rd.K, No. 102,Siren,W154872 Office of Zoning Administrator � o 0 <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> y O <br /> CL <br /> fA <br /> C (t <br /> TELEPHONE 0 <br /> OWNER <br /> m <br /> Q f <br /> MAILINGADDRESS ) 3 / ��„ ,7 or S 6.4 m <br /> PROPERTY ADDRESS S p ` o <br /> N <br /> cn - <br /> LEGAL DESCRIPTION(see tax receipt) O Y j 1hyI � <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ADDITION o <br /> TYPE OF PERMIT(S): (T�' a <br /> FILLING/GRADI G ❑ CAMPING UNI ❑ SUBDIVI ON ❑ y. <br /> STRUCTUREIADDITIONOSE: <br /> d I aYl J- A n) �'1fc�'iiY� <br /> (Home/Cain;Commercial eugliness;Bedroom; Deck;etc.). (n <br /> BUILDING CONTRACTOR: Q <br /> v <br /> M <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8/2X 11 SHEET OF PAPER. ANY INCOMPLETE OR rl 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. O ~ <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) On n <br /> T O Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n <br /> M <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE C 0 <br /> NORTH(N). y3 <br /> 3. 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 o <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. <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 /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER,BUILDER,CONTRACTOR, ETC.,THE PLANS o <br /> MUST BE SIGNED AND DATED BY THE OWNER. o <br /> ll o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERFfi� f<I�� BE DONE WHEN <br /> NEEDED. ✓� /� <br /> /� (>THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. *4k o <br /> CONDITIONS OF PERMIT: e�� / 1 I� V <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS MIT (, _ <br /> ISSUANCE. W <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG S }��t,�y- <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY'�i 'v y <br /> PERMITTED. <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER 1 <br /> SETBACK AREA. _y,, �/ / <br /> 5. �e _}� ��I /� Shue rll�� l�hPi• Mc>d av' v <br /> Cary This structure to be used as private residential cL a T <br /> s. /`'� garage/storage only. Not to be used for human z y co: <br /> 0 S 3 <br /> 7. habitation. — + m <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my 11, ,) <br /> A <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of X� a � <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize �? m 0 <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 be a result of the County of Burnett relying on this information I am <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other <br /> authorized person tqSlirve access to the above descri d premises at any reasonable time for the purpose of inspection. T m o <br /> � m : <br /> .s iu <br /> SIGN HERE J (date) pyo` <br /> ( nat re of own r ilding contractor) ( 'v/n1 <br /> ZONING ADMINISTRATOR �j,r• -' <br /> 1819a 0C 00 <br /> _ r- O N O 0 <br /> TOWNSHIP PERMITS MAY I REQUIRED <br />