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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator - o 0 <br /> APPLICATION F R LAND USE PERMITS 3 <br /> UF 0 <br /> 539 <br /> I ( r[ `l Q r, 0 <br /> 01nMER �q N GLIA J f7 ��e•l 7 D IV TELEPHONE 7) 57_.:t j 6� v���—H �v <br /> Abe, <br /> \ O <br /> MAILINGADDRESS '�70 ��4" Abe Nth R\��►h1A WI S u 15+317 <br /> PROPERTY ADDRESS A-,36 t,) <br /> LEGAL DESCRIPTION(see tax receipt) Lot 14 5.35 116 R 16 U 1 84, re, D591 <br /> m <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ADDITION ❑ 1`1 ° <br /> TYPE OF PERMIT(S): V <br /> c <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ <br /> STRUCTUREIADDITION USE: 46L F.[J rd <br /> (Hom abin;C mmercial Business;BedrooDeck;etc.) m V�I <br /> I 9_ 2. <br /> BUILDING CONTRACTOR: t' •S D N C Z^ 42 <br /> v <br /> (o <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 /> O _! <br /> A m O <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) 0 o <br /> n <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> C 0 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m 3 <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF 1 a <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 /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED ILLED. N <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, COTHE PLANS 02, o C <br /> MUST BE SIGNED AND DATED BY THE OWNER. <br /> o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFI TION MAY BE <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o I <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMITZO/V/, oU/V N <br /> ISSUANCE. � O <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 G <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATERW <br /> SETBACK AREA. <br /> 5. <br /> X m <br /> g a >0 -0 <br /> d <br /> 6. 3a' m xam <br /> S�e t m Wo <br /> = 3 <br /> 7. C a 4�h Pg 5 1-f y _ ; <br /> ;, z <br /> m <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my G) C <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of oa <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m: CDo O <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 : m <br /> providing in this application. I agree to permit county offici fitfirfiNtering county ordinances or other <br /> authorized person to ve access to the above described pre me for the purpose of inspection. - o <br /> elf m m <br /> SIGN HERE fUV <br /> a <br /> vim' <br /> : <br /> (sign ur of ow r r building contractor I (date) lY <br /> ZONING ADMINISTRATOR F»to <br /> BURNETT COU <br /> N O N O O <br /> TOWNSHIP PERMITS MAY BOMWED <br />