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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 /> tl <br /> to 0 O <br /> N J <br /> OWR C(rc,u U S n e TELEPHONE o <br /> NE <br /> MAILING ADDRESS <br /> j5ao LTeerso�- Sf. �u/utti m 5s�la <br /> o <br /> p <br /> PROPERTY ADDRESS 3UNNe1- �-� �Gll � t o <br /> LEGAL DESCRIPTION(see tax receipt) �p� g pllii- SU^jNer L(c cn <br /> i I m <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE)RI ADDITION ElO o <br /> TYPE OF PERMIT(S): n <br /> FL <br /> FILLING/GRADING ❑ CAMPING UNIT ❑y SUBDIVISION <br /> � d❑ <br /> STRUCTURE/ADDITION USE: ow-e-,111 n:Y <br /> ( me/Cabin;Commercial Business(Bedroom; Deck;etc.) rn 1N r <br /> BUILDING CONTRACTOR: 2 r ut c / A atA&_C <br /> m <br /> Z � <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. TO <br /> N r c <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O n <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m <br /> NORTH(N). y h o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m CA <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. ` P <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. 1I N <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE PLANS V �. 1 <br /> MUST BE SIGNED AND DATED BY THE OWNER. Q�o F <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN C ° O <br /> NEEDED. <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 T7 ) <br /> ISSUANCE. 00 �(� Q <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. � b <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY (n C <br /> PERMITTED. t� <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER (\ <br /> SETBACK AREA. �✓ <br /> 5. <br /> mm m rcDi �nCM <br /> 6. 3 n m x n m � <br /> o mCy � o' � 3_ <br /> 7. M 0 <br /> o T <br /> m <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 d 0 : d. <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize <br /> CL =: m <br /> o <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- Q m <br /> sue a permit. 1 further accept all liability which may be a result of the County of Burnett relying on this information I am d <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection. ° c <br /> -5-ow -d.3 <br /> SIGN HERE <br /> ( A 1 <br /> of owner r bu ing contractor) (date) <br /> a <br /> ZONING ADMINISTRATOR tic"i <br /> IEA EA fA fAN (TNNUt Vt <br /> TOWNSHIP PERMITS MAY BE REQUIRED N 0 <br />